Revenue Cycle Specialist

About Kind Clinic and Texas Health Action Texas Health Action (THA) is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with expertise in serving LGBTQIA+ people and those impacted by HIV. Kind Clinic proudly serves Texas with four vibrant locations: two in Austin, one in San Antonio, and another in Dallas plus virtual care services available to all residents across Texas. Bolstered by Waterloo Counseling Center and a passionate team of over 250 dedicated employees and volunteers, THA is at the forefront of promoting healthcare equity and accessibility throughout the state. Read more about THA here: The Revenue Cycle Specialist plays a foundational role in supporting Kind Clinic's evolving revenue cycle function. This position is responsible for day-to-day revenue cycle operations, including claims management, insurance follow-up, denial resolution, accounts receivable management, and oversight of high-balance laboratory accounts. Kind Clinic's revenue model is designed to support equitable access to care. The Revenue Cycle Specialist will ensure accurate insurance billing and reimbursement while coordinating closely with internal patient assistance programs to prevent avoidable financial harm to patients. This role emphasizes payer accountability, thoughtful resolution of coverage issues, and strong internal collaboration across Clinical Operations, Patient Support Services, and the Kind Patient Assistance Program (KPAP). As a newly established role within a growing revenue cycle structure, the Revenue Cycle Specialist will help refine workflows, assist in developing Standard Operating Procedures, and make recommendations to improve efficiency and compliance under the guidance of the Director of Revenue Cycle. This is a hybrid position based out of Kind Clinic Central in Austin, Texas. Team members are expected to work on-site as needed to support operational collaboration, training, and departmental initiatives while maintaining the flexibility of a hybrid work environment. Revenue Cycle Operations & Payer Follow-Up Execute Revenue Cycle production tasks, including but not limited to: claims submission, follow-up, payment, and denial management, ensuring accuracy, timeliness and compliance with payer requirements Perform eligibility, coverage, and payer discrepancy resolution for claims and balances, including issues related to date of service coverage, coordination of benefits, demographic inconsistencies, benefit limitations, and diagnosis-related coverage determinations Manage assigned work queues within athenaCollector, including claims on hold, resubmissions, follow-up, and aging review Research and resolve insurance denials related to eligibility, coverage at date of service, and payer processing errors Coordinate corrections with clinical or operational staff to obtain diagnosis clarification or updates Monitor unpaid or underpaid claims, ensuring timely and compliant follow-up Support accounts receivable management and contribute to denial category tracking and reporting Laboratory Balance Oversight (Quest) Support the review of high-balance laboratory accounts from Quest Diagnostics Apply the same eligibility, coverage, and payer discrepancy resolution framework to laboratory balances, identifying root causes and appropriate resolution pathways Coordinate with clinical staff when diagnosis clarification or coding updates are warranted. Collaborate with Quest billing representatives to resolve identified issues and facilitate claim reprocessing when applicable Identify and flag recurring trends in laboratory billing issues to support workflow improvements Identify balances eligible for internal financial assistance and coordinate transfer to the KPAP Program when appropriate KPAP Coordination & Financial Assistance Transfers Collaborate with Patient Support Services and the KPAP Program Manager to initiate transfers of eligible patient balances to the KPAP internal assistance program Ensure balances are appropriately routed when patients meet established financial eligibility criteria Maintain accurate documentation and tracking of transferred balances within revenue cycle workflows Support a patient-centered approach that balances fiscal responsibility with access to care Workflow Development & Process Improvement Assist the Director of Revenue Cycle in developing and refining revenue cycle workflows and Standard Operating Procedures (SOPs) Identify operational inefficiencies and recommend improvements Support periodic coding audits and internal compliance reviews Support the ongoing optimization of athenaCollector and related billing systems Reporting & Collaboration Assist in preparation of A/R aging reports, denial trend summaries, and laboratory balance analytics Collaborate with Clinical Operations, Health Information Management (HIM), Finance, and external partners to resolve revenue cycle issues Support implementation of new payers, billing configurations, or system enhancements as directed Key Performance Indicators (KPIs) Revenue Cycle Work Queue Management: Assigned athenaCollector tasks, claim holds, and follow-up activities are worked timely and accurately in accordance with established internal benchmarks, supporting consistent payer responsiveness and reduced accounts receivable aging Laboratory Balance Resolution & Trend Reduction: High-balance Quest laboratory accounts are reviewed and addressed according to internal performance standards through eligibility, coverage, and payer discrepancy resolution, with recurring root causes identified and reduced over time through workflow improvements Financial Assistance Coordination & Patient Balance Accuracy: Eligible patient responsibility balances are appropriately identified and routed through the KPAP internal assistance program within established organizational guidelines and timelines, ensuring accurate account resolution and minimizing avoidable patient financial burden Compensation Based on the position's duties and requirements, this role has a starting annual hourly rate of $28.57. The initial salary will be determined by the selected candidate's qualifications and relevant experience. Qualifications Minimum 3 years of physician practice billing and revenue cycle experience Experience working denials, eligibility issues, and accounts receivable follow-up Strong understanding of ICD-10 diagnosis coding and payer coverage rules Coding certification (CPC, CCS-P, or similar) strongly preferred Experience with athenaOne/athenaCollector preferredExperience working with laboratory billing workflows (e.g., Quest Diagnostics) preferred Familiarity with revenue cycle workflows and willingness to contribute to SOP development Strong analytical, organizational, and problem-solving skills Ability to work collaboratively across clinical, operational, and financial teams Physical Requirements/Environmental Conditions Ability to communicate effectively in person and virtually with staff and leadership Ability to work in a fast-paced environment with multiple priorities and stakeholders Typically work 40 hours per week, with occasional travel or evenings/weekends as required Benefits Health Care Plan (Medical, Dental & Vision) Retirement Plan (403b) Life Insurance (Basic, Voluntary & AD&D) Paid Time Off (Vacation, Sick & Holidays) Short-Term & Long-Term Disability Training & Development Parental Leave Longevity Pay Applicant Information Submitting official transcripts, diplomas, certifications and licenses may be required prior to final offer. Unofficial transcripts and copies of other relevant documents may be attached to the application for consideration in advance Information regarding employment history as it relates to the qualifications of the position may be needed for employment verification The applicant selected for employment is subject to a pre-employment background check. A history of conviction may not automatically disqualify an applicant. Applicants with a history of conviction may be considered on a case‑by‑case basis, after individualized assessment of factors including the nature of the conviction, the job duties and responsibilities, the length of time since the conviction, and evidence of mitigation or rehabilitation. If required for the position, a physical, motor vehicle record evaluation, and additional background checks may be conducted EEO Statement Texas Health Action is proud to be an Equal Employment Opportunity andAffirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender(including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. #J-18808-Ljbffr