Revenue Cycle Specialist

Job Description

Job Description

Salary:

Position Summary

New Era Billing Services is seeking a detail-oriented and dependableRevenue Cycle Specialist to support medical billing, claims management, payment posting, denial follow-up, and accounts receivable operations. This role is responsible for ensuring accurate and timely billing, resolving claim issues, following up with payers, and helping maximize reimbursement for healthcare providers.

The ideal candidate has experience in medical billing, revenue cycle management, insurance verification, claims follow-up, denial resolution, and payer communications. This position requires strong attention to detail, excellent organizational skills, and the ability to work efficiently in a fast-paced healthcare billing environment.

Duties and Responsibilities

As a Revenue Cycle Specialist, you will:

• Review patient, provider, insurance, and billing information for accuracy and completeness.
• Prepare, submit, and track medical claims to commercial insurance carriers, Medicare, Medicaid, TRICARE, workers compensation, and other payers as applicable.
• Follow up on unpaid, denied, rejected, or underpaid claims.
• Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and payer correspondence.
• Identify billing errors, coding issues, authorization problems, eligibility issues, and missing documentation.
• Work claim rejections and denials through resolution.
• Post payments, adjustments, write-offs, and denials accurately.
• Conduct insurance verification and eligibility check as needed.
• Assist with prior authorization tracking and claim status inquiries.
• Communicate with insurance companies, providers, patients, and internal team members to resolve billing issues.
• Maintain accurate notes and documentation in billing systems, payer portals, spreadsheets, and internal tracking tools.
• Monitor accounts receivable aging and prioritize follow-up activity.
• Support month-end reporting, reconciliation, and revenue cycle performance tracking.
• Maintain confidentiality of patient and provider information in accordance with HIPAA and company policies.
• Perform other revenue cycle, billing, and administrative duties as assigned.

Requirements

Conditions of Employment

• Must be authorized to work in the United States.
• Must be able to pass a background check, if required.
• Must comply with HIPAA, privacy, and data security requirements.
• Must be able to handle confidential patient, provider, and company information with professionalism.
• Must be able to meet deadlines and manage multiple priorities in a fast-paced environment.

Qualifications

To qualify for this position, candidates should have:

• Minimum of 2 years of experience in medical billing, revenue cycle management, claims processing, accounts receivable follow-up, payment posting, or a related healthcare billing role.
• Knowledge of medical billing processes, claim submission, denial follow-up, and payer requirements.
• Experience working with EOBs, ERAs, claim rejections, denials, underpayments, and payer portals.
• Familiarity with insurance verification, eligibility checks, prior authorizations, and claim status follow-up.
• Strong attention to detail and accuracy in data entry and documentation.
• Ability to manage multiple claims, accounts, deadlines, and follow-up tasks at once.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Office, including Outlook, Word, and Excel.
• Ability to learn and use billing software, EHR/EMR systems, clearinghouses, payer portals, and document management tools.
• Professional judgment and discretion when handling confidential information.

Preferred Qualifications

• Experience with Medicare, Medicaid, TRICARE, commercial insurance, workers compensation, or specialty medical billing.
• Familiarity with CPT, ICD-10, HCPCS, modifiers, and basic coding concepts.
• Experience with denial management, payment posting, charge entry, and AR follow-up.
• Experience using clearinghouses and payer portals.
• Knowledge of HIPAA and healthcare compliance requirements.
• Certification such as CPC, CPB, CMRS, RHIT, or related medical billing/coding certification preferred but not required.
• Experience in a third-party medical billing company or multi-provider billing environment.

Education

• High school diploma or GED required.
• Associate degree or higher in Healthcare Administration, Medical Billing and Coding, Business Administration, or a related field preferred.
• Formal training in medical billing, coding, or healthcare revenue cycle management preferred.

Work Environment

This position is primarily administrative and may be performed in an office, remote, or hybrid setting depending on company needs. The role requires regular computer use, phone and email communication, payer portal access, document review, data entry, and coordination with providers, payers, patients, and internal team members.

Benefits

• Competitive pay commensurate with experience
• Medical, dental, and vision insurance, if applicable
• PTO (Paid Time Off)
• Paid holidays
• Professional development and training opportunities
• Supportive team environment

Equal Opportunity Employer

New Era Billing is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, age, or any other characteristic protected by applicable law.