Sr. Revenue Cycle Specialist, Day Shift, Ambulatory
About The Position
The Sr. Revenue Cycle Specialist supports revenue cycle and billing operations by reviewing and correcting insurance information, charges, coding issues, and claims. The role follows payer billing requirements, manages appeals and billing inquiries, reconciles accounts, addresses reimbursement and denial issues, and helps eliminate billing backlogs. It also analyzes performance, reports key revenue cycle metrics, identifies improvement opportunities, and coordinates with accounting on month-end financial reporting. The position is full-time, 40 hours per week, with a Monday-through-Friday day shift and no weekend requirements. Holiday work follows the company holiday calendar. The position is non-exempt and pays $26.00–$39.00 per hour.
Requirements
- Bachelor’s or associate degree in Finance, Business, Accounting, or equivalent experience.
- Seven years of experience in the field.
- Ability to maintain high-volume processing without compromising quality and accuracy.
- Working knowledge of medical coding, including CPT, HCPCS, and ICD-10, as it relates to billing.
- Experience with Electronic Health Records software.
Nice To Haves
- Certified medical coder.
- Experience with eClinical Works.
Responsibilities
- Verify and correct insurance information, charges, and coding issues for electronic claims and manual corporate billing.
- Ensure billing follows payer requirements.
- Contact insurance companies regarding appeal status.
- Reconcile accounts daily and eliminate billing backlogs.
- Follow up on payment errors, low reimbursement, denials, and related issues.
- Review EOBs and initiate appeals as necessary.
- Resolve patient billing calls and inquiries.
- Troubleshoot billing operations issues, report them to management, and/or initiate resolutions.
- Analyze performance, identify trends and improvement opportunities, and prioritize initiatives in areas such as coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals.
- Routinely report key metrics, including AR days, cash collections, denials, avoidable write-offs, refunds, charge lag, and bad debt.
- Coordinate with accounting to ensure accurate and timely month-end financial reports.
Benefits
- Work-life balance through nonrotating shifts.
- Recognition and rewards for professional expertise.
- Free employee parking.
- Medical, prescription, dental, and vision coverage for employees and eligible dependents effective on the date of hire.
- Employer-paid short- and long-term disability, basic life insurance, and AD&D; short-term disability buy-up is available.
- Paid time off.
- Employer retirement contribution and match after one year of eligible employment, with a three-year vesting period.
- Voluntary benefits including flexible spending accounts, legal plans, life insurance, pet insurance, auto insurance, home insurance, long-term care insurance, and critical illness and accident insurance.
- Subsidized childcare at participating childcare centers.
- Tuition reimbursement.
- Employee Assistance Program support.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
