Patient Financial Specialist Lead (Revenue Cycle / Medical Billing)

Patient Financial Specialist Lead

Sigma Inc. is seeking an experienced Patient Financial Specialist Lead to join our healthcare client's Revenue Cycle team in Irving, TX. This onsite contract opportunity is ideal for professionals with strong experience in patient financial services, medical billing, claims resolution, account reconciliation, reimbursement, collections, cash applications, insurance follow-up, and healthcare revenue cycle operations.

The ideal candidate will serve as a subject matter expert (SME), supporting team members, resolving complex patient account issues, and helping improve operational efficiency across the Revenue Cycle department.

Key Responsibilities

• Serve as a Subject Matter Expert (SME) for Patient Financial Services and Revenue Cycle operations.
• Support team members with account resolution, reimbursement issues, billing questions, and payer requirements.
• Assist with onboarding and on-the-job training of staff.
• Review, reconcile, and resolve outstanding patient account balances.
• Research and resolve denied, delayed, or unpaid claims.
• Analyze payer benefits, claim status, billing activity, cash applications, and payment reconciliation.
• Approve or deny adjustments and refunds within established authority levels.
• Maintain accurate account documentation in patient accounting systems.
• Monitor trends affecting reimbursement, payment delays, account resolution, and productivity.
• Communicate effectively with patients, insurance companies, healthcare providers, and internal departments.
• Support process improvement initiatives and special projects.
• Ensure compliance with payer regulations, government guidelines, and organizational policies.
• Meet productivity, quality, and customer service expectations.

Required Qualifications

• High School Diploma or equivalent required.
• 5+ years of experience in Patient Financial Services, Revenue Cycle, Medical Billing, Healthcare Collections, Insurance Follow-Up, Claims Resolution, or Account Reconciliation preferred.
• Strong understanding of: Medical Billing, Revenue Cycle Management, Insurance Claims Processing, Account Resolution, Payment Posting, Cash Applications, Reimbursement Processes, Customer Service.
• Experience working with patient accounting systems, billing systems, document imaging platforms, and healthcare databases.
• Proficiency with Microsoft Office Suite including Excel, Word, Outlook, PowerPoint.
• Strong verbal and written communication skills.
• Ability to work independently and collaboratively within a team environment.

Preferred Qualifications

• Healthcare Revenue Cycle certification or healthcare billing education.
• Insurance company claims processing experience.
• Experience in a hospital business office or multi-facility healthcare environment.
• Knowledge of government and commercial payer regulations.
• Experience with account reconciliation, reimbursement analysis, and denial management.