Revenue Cycle Specialist

SPIN•Philadelphia, PA

2d•Onsite

About The Position

SPIN is seeking a detail-oriented and technically skilled Revenue Cycle Specialist to join our Finance team. This position plays a critical role in supporting the organization's revenue cycle operations by maintaining billing-related electronic health record (EHR) systems, optimizing billing processes, and ensuring accurate and timely reimbursement for services provided. The ideal candidate is analytical, organized, and solutions-focused, with a strong understanding of healthcare billing systems and revenue cycle processes. If you enjoy troubleshooting complex issues, improving system performance, and collaborating with teams across the organization to support financial sustainability and operational excellence, we'd love to hear from you.

Requirements

Associate degree in Healthcare Administration, Business Administration, Information Systems, Accounting, or a related field.
Three (3) years of experience in healthcare billing, revenue cycle management, EHR administration, or a related field.
Experience working with electronic health record (EHR) systems and billing platforms.
Strong analytical, organizational, problem-solving, and troubleshooting skills.
Ability to manage multiple priorities while maintaining a high degree of accuracy and attention to detail.
Proficiency with Microsoft Office applications, including Excel, Word, and Outlook.
Strong verbal and written communication skills.

Nice To Haves

Bachelor's degree in Healthcare Administration, Business Administration, Information Systems, Accounting, or a related field.
Experience with Evolv EHR and related billing applications.
Experience supporting Medicaid waiver programs, managed care organizations, and commercial insurance billing.
Knowledge of claims processing, reimbursement methodologies, and healthcare revenue cycle best practices.
Experience supporting system implementation, configuration, or process improvement initiatives.

Responsibilities

Maintain billing-related configurations within the Evolv EHR system, including payer plans, rates, prior authorizations, service codes, and staff credentialing information.
Provide billing system training and technical support to management and staff.
Ensure billing configurations align with service definitions, funding requirements, payer rules, and regulatory requirements.
Troubleshoot and resolve billing system issues, operational challenges, and claims-related concerns to minimize disruptions.
Collaborate with Information Technology, Finance, Clinical, and Operational teams to implement new programs, services, and system enhancements.
Research, analyze, and resolve billing discrepancies, claim rejections, denials, and reimbursement issues.
Support accurate claims submission and reimbursement across Medicaid, managed care, commercial insurance, and other funding sources.
Participate in billing reconciliation activities, revenue cycle reviews, and related team meetings.
Monitor billing data integrity and identify opportunities for process improvements that enhance efficiency and accuracy.
Serve as a technical resource for billing system functionality, claims processing, and revenue cycle best practices.
Communicate effectively with internal departments, funding sources, insurance carriers, and external stakeholders regarding billing matters.
Maintain compliance with organizational policies, confidentiality requirements, and applicable federal, state, and payer regulations.

Benefits

Affordable Healthcare Coverage (medical coverage for $5 per paycheck)
FREE dental and vision insurance
Generous Paid Time Off (three weeks during the first year for full-time employees)
One paid cultural holiday of choice each year
Tuition Reimbursement
Health Reimbursement Account (HRA)
Childcare discounts
Retirement savings plan with biannual employer match
Wellness Rewards (up to $500 annually)
Employee referral bonuses
Longevity bonuses