Revenue Cycle Specialist

HSMC•Milford, MA

4d•$22 - $25•Hybrid

About The Position

The Revenue Cycle Specialist is a multi-specialized role responsible for supporting all aspects of the revenue cycle, including cash posting, insurance coordination, and billing functions. This position ensures the accurate and timely processing of payments, verification and authorization of insurance coverage, and submission and follow-up of claims. The Specialist works collaboratively across departments to resolve reimbursement issues, maintain compliance, and support the organization’s financial performance.

Requirements

High School Diploma or equivalent required
2 years’ experience with automated systems and multiple electronic reimbursement processes
Experience with cash posting, billing procedures and accounts receivable
Proficiency with practice management systems, EHR platforms, and Microsoft Excel

Nice To Haves

Associate's degree preferred
Knowledge of CPT and ICD-10 coding and medical terminology preferred

Responsibilities

Post payments, adjustments, and denials to patient accounts accurately and timely
Perform daily and monthly reconciliation of cash receipts and postings, identifying and resolving discrepancies
Verify patient insurance eligibility, benefits, deductibles, co-pays, and authorization requirements
Obtain and track prior authorizations, ensuring all required clinical documentation is complete and accurate
Prepare, review, and submit accurate insurance claims with appropriate coding and documentation
Monitor and follow up on outstanding claims and accounts receivable
Collaborate regularly with the Client companies, Intake, Billing, and Collections teams to resolve reimbursement issues
Ensure all activities comply with HIPAA and organizational privacy and security policies