Revenue Cycle Specialist

Revenue Cycle Specialist

The Revenue Cycle Specialist is responsible for supporting the organization's revenue cycle operations through billing, collections, payment reconciliation, and related financial activities. This role initially focuses on clinical research sponsor billing and collections while partnering closely with Clinical Operations, Finance, and Accounting to ensure accurate billing, timely collections, revenue recognition, and financial reporting.

This position is ideal for someone who enjoys improving financial workflows, leveraging technology to increase efficiency, and supporting accurate and scalable revenue cycle processes within a growing healthcare organization. The successful candidate will have a strong analytical mindset, attention to detail, and the ability to identify opportunities to improve workflows, reduce manual processes, and enhance operational effectiveness.

As the organization grows, this role may support additional revenue cycle functions, including claims processing, payment posting, reimbursement support, and other financial operations.

Key Responsibilities

Revenue Cycle & Financial Operations

• Prepare, submit, and manage sponsor invoices based on executed clinical trial agreements, study budgets, payment milestones, and contractual terms.
• Monitor accounts receivable and proactively follow up with sponsors regarding outstanding balances to ensure timely collections.
• Manage high-volume email communication and maintain professional, timely follow-up with sponsors and internal stakeholders.
• Reconcile sponsor payments to bank deposits and investigate payment discrepancies.
• Assist with revenue journal entries, account reconciliations, and supporting documentation as part of the month-end close process.
• Maintain accurate billing, payment, and financial records within CRIO and other applicable systems.

Clinical Research Finance Support

• Perform quality control (QC) reviews of clinical research budgets within CRIO to ensure alignment with executed contracts, sponsor agreements, payment schedules, and billing requirements.
• Review contracts, budgets, amendments, and payment terms to validate billing triggers and revenue expectations.
• Partner with Clinical Operations to resolve billing questions and ensure accurate financial tracking of research activities.

Process Improvement & Automation

• Evaluate existing revenue cycle workflows and leverage technology, automation tools, and data analysis to identify opportunities to improve efficiency, accuracy, scalability, and reporting.
• Develop and implement process improvements that reduce manual effort and streamline billing, reconciliation, and reporting activities.
• Identify trends, recurring issues, and opportunities for continuous improvement.

Additional Revenue Cycle Support

• Support additional revenue cycle activities as business needs evolve, including claims processing, specialty pharmacy payment posting, reimbursement activities, and other financial operations.
• Assist with refinement and optimization of revenue cycle processes across additional business lines.

Qualifications

• 35 years of experience in Revenue Cycle Management (RCM), healthcare finance, clinical research finance, accounts receivable, medical billing, or a related field.
• Experience managing billing, collections, payment reconciliation, and accounts receivable processes.
• Advanced Microsoft Excel skills required, including proficiency with complex formulas, PivotTables, data analysis, reconciliations, and reporting.
• Strong analytical and problem-solving skills with exceptional attention to detail.
• Demonstrated ability to identify process improvement opportunities and implement more efficient workflows.
• Strong organizational skills with the ability to manage multiple priorities, deadlines, and high-volume communication independently.
• Excellent written and verbal communication skills.
• Ability to work collaboratively across teams.

Preferred

• Experience with clinical research sponsor billing or clinical trial financial management.
• Experience reviewing contracts, budgets, amendments, and payment schedules.
• Experience performing quality control (QC) reviews of clinical research budgets.
• Experience with CRIO or another Clinical Trial Management System (CTMS).
• Accounting experience, including journal entries, account reconciliations, and month-end close support.
• Experience with workflow automation, reporting tools, or process optimization initiatives.
• Experience with healthcare claims processing, payer workflows, denials management, reimbursement processes, or other healthcare revenue cycle functions.