Revenue Cycle Float Pool Specialist

Revenue Cycle Float Pool Specialist

The Revenue Cycle Float Pool Specialist supports TMC Health's commitment to exceptional patient care by providing flexible, cross-trained coverage across our Revenue Cycle team. Team members in this float pool are deployed where operational needs are greatest and are expected to rotate between roles, departments, and locations within the TMC Health system. This position ensures continuity, reduces workflow delays, and strengthens the overall patient financial experience from registration through final account resolution.

Essential Functions:

• Complete accurate patient registration for inpatient, outpatient, ED, and ancillary services.
• Perform insurance verification, eligibility checks, and documentation of benefits.
• Provide financial counseling, including cost estimates, payment options, and assistance program screening.
• Collect co-pays, deductibles, and prior balances at the point of service.
• Support scheduling, pre-registration, and prior authorization workflows as assigned.
• Maintain compliance with EMTALA, HIPAA, and TMC Health policies.
• Review and submit clean claims in accordance with payer requirements.
• Work claim edits, denials, and rejections, identifying root causes and taking corrective action.
• Conduct insurance follow-up to resolve unpaid or delayed claims.
• Perform patient account follow-up, including payment posting, balance resolution, and customer service outreach.
• Collaborate with coding, clinical teams, and payers to resolve discrepancies.
• Support month-end processes and revenue cycle performance initiatives.
• Perform related duties as assigned.

Minimum Qualifications

Education:

High school diploma or equivalent; associate degree preferred.

Experience:

Two (2) three (3) years of experience in patient access, medical billing, or revenue cycle operations

Proficiency with EHR and billing systems (Epic experience preferred).

Licensure or Certification:

None required.

Knowledge, Skills and Abilities:

Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices.

Strong leadership, communication, and interpersonal skills. Provides clear, compassionate communication to patients and families.

Proficiency in EHR systems, payer portals, and Microsoft Office applications.

Ability to manage multiple priorities and support team performance.

Problem-solving skills and ability to resolve escalated issues effectively.

Thrives in a dynamic float environment.

Ensures accuracy in registration, billing, and documentation.

Maintains productivity and quality standards across all assigned roles.