Revenue Cycle Specialist

Coos County Family Health Services • Berlin, NH

1d • Onsite

About The Position

The Revenue Cycle Specialist is responsible for supporting the organization’s revenue cycle operations to ensure accurate and timely billing, claims processing, payment posting, account follow-up, and overall financial workflow efficiency. This position works collaboratively with clinical staff, front office teams, finance, and external vendors to support revenue integrity, patient satisfaction, and organizational financial performance.
This role is expected to evolve as operational workflows and departmental needs continue to develop. Responsibilities may be adjusted over time to best support organizational goals and revenue cycle operations.

Requirements

• High school diploma or equivalent required.
• Strong organizational skills and attention to detail.
• Ability to adapt to changing workflows and departmental needs.
• Strong communication and customer service skills.
• Ability to work independently and collaboratively in a team environment.

Nice To Haves

• Experience in healthcare billing, medical office operations, insurance processing, revenue cycle, patient accounts, or related healthcare administrative work preferred.
• Knowledge of medical terminology, insurance plans, billing practices, and payer guidelines preferred.
• Experience working with electronic health records and billing systems preferred.

Responsibilities

• Assist with daily revenue cycle operations including billing, claims review, payment posting, account reconciliation, and denial management.
• Review and resolve claim edits, rejections, and denials in a timely manner.
• Work collaboratively with outsourced billing vendors and internal departments to ensure accurate claim processing and follow-up.
• Maintain accurate patient insurance information and assist with eligibility verification when needed.
• Support account follow-up activities including patient balances, payer correspondence, and aging accounts receivable.
• Monitor work queues and assist in resolving outstanding billing and reimbursement issues.
• Assist with prior authorizations, referrals, and other revenue-related administrative processes as assigned.
• Support compliance with payer requirements, organizational policies, and regulatory standards.
• Utilize Athena One and other electronic systems to maintain accurate documentation and workflow management.
• Provide excellent customer service to patients, staff, and external partners regarding billing and account inquiries.
• Participate in workflow improvement initiatives and process development within the Revenue Cycle Department.
• Maintain confidentiality of patient and organizational information in accordance with HIPAA regulations.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED