Revenue Cycle Specialist

The Revenue Cycle Specialist will support the team by reviewing and managing billing activity related to clinical trial patients. This individual will help reduce an existing billing backlog by determining whether charges should remain on patient accounts or be transferred to the appropriate research study account. Key Responsibilities Review patient charges and claims for clinical trial participants. Determine appropriate billing responsibility between patient and research study accounts. Analyze patient charts and clinical documentation to validate billed services. Review clinical trial protocols and Medicare Coverage Analyses (MCA) to support billing decisions. Apply Medicare research billing requirements, including Q0/Q1 modifiers when appropriate. Evaluate charges using knowledge of CPT codes, medical procedures, and treatment workflows. Maintain research billing information within the EMR and clinical trials management systems. Enter and update Medicare Coverage Analysis information. Support research timeline maintenance and billing compliance activities. Assist with audits of clinical trial billing activity. Review chargemaster and CPT code alignment between research budgets and actual services rendered. Identify billing discrepancies and recommend corrective actions. Collaborate with Clinical Research Finance & Compliance, Research Billing, Principal Investigators, research coordinators, and nursing staff. Support system testing, process improvement initiatives, and special projects. Work independently to resolve billing questions using clinical documentation, research protocols, and Medicare guidance. Required Qualifications 2+ years of experience in healthcare revenue cycle, medical billing, coding, clinical research, or a related healthcare function. Experience reviewing medical bills, claims, charges, or coding documentation. Working knowledge of healthcare billing, reimbursement, and revenue cycle processes. Familiarity with CPT coding and medical billing concepts. Ability to review and interpret patient charts and clinical documentation. Strong analytical and problem-solving skills. Ability to independently investigate billing discrepancies and make informed decisions. Comfortable working across multiple systems and managing detailed work queues. Ability to work onsite in Columbus three days per week. Preferred Qualifications Clinical research billing or clinical trial billing experience Oncology or cancer-center billing experience Medicare Coverage Analysis (MCA) experience Knowledge of Medicare research billing requirements, including Q0/Q1 modifiers Epic experience, particularly within revenue cycle, claims, billing, or patient chart review workflows Hospital or health system revenue cycle experience Medical billing and coding experience Understanding of CPT codes and chargemaster maintenance Clinical (LPN, RN, or similar) with the ability to connect clinical care to billing outcomes Experience with denials, pre-certification, or billing review functions CCS or similar coding certification (preferred, not required) Job Type & Location This is a Contract position based out of Columbus, OH. Pay And Benefits The pay range for this position is $20.00 - $25.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Columbus,OH. Application Deadline This position is anticipated to close on Sep 29, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems And TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. #J-18808-Ljbffr