Revenue Cycle Specialist

Revenue Cycle Specialist (Healthcare Revenue Cycle)

Location: onsite

Compensation: $60k- $65k

Employment Type: Direct hire

About the Opportunity

Our client, a growing healthcare organization specializing in home health services, is seeking an experienced Medical Collections Specialist to join its Revenue Cycle team. This role is ideal for a professional with a strong background in healthcare accounts receivable, insurance follow-up, denial management, and payer communications.

The successful candidate will play a key role in maximizing reimbursement by managing outstanding claims, resolving payment issues, and working directly with insurance carriers to ensure timely collections.

Position Summary

As a Medical Collections Specialist, you will be responsible for handling insurance-related collections activities, investigating unpaid claims, resolving denials, and managing payer communications through portals, phone calls, and electronic correspondence. This position requires hands-on experience navigating the full healthcare revenue cycle and a strong understanding of insurance reimbursement processes.

Key Responsibilities

• Follow up on outstanding insurance claims to secure timely reimbursement.
• Communicate with insurance carriers regarding claim status, denials, underpayments, and unresolved balances.
• Utilize payer portals to research claims, submit inquiries, and resolve billing issues.
• Investigate denied, rejected, or unpaid claims and determine appropriate resolution strategies.
• Manage healthcare accounts receivable activities from claim submission through final payment resolution.
• Monitor reimbursement activity and track outstanding balances.
• Identify recurring denial trends and escalate issues when necessary.
• Maintain detailed and accurate documentation of collection efforts and payer interactions.
• Collaborate with billing, revenue cycle, and administrative teams to improve collection outcomes.
• Ensure compliance with payer guidelines, healthcare regulations, and company policies.

Qualifications

Required

• Previous experience in medical, hospital, or healthcare collections.
• Strong background in insurance collections and payer follow-up.
• Knowledge of medical claims processing, denial management, reimbursement practices, and accounts receivable.
• Experience working within a healthcare revenue cycle environment.
• Ability to independently manage claims from initial follow-up through final resolution.
• Proficiency using payer portals for claim research, status updates, and issue resolution.
• Strong communication, organizational, and problem-solving skills.
• Ability to prioritize workload and manage multiple accounts in a fast-paced environment.
• Background in revenue cycling

Preferred

• Experience supporting home health, hospital, physician practice, or healthcare billing operations.
• Familiarity with multiple insurance carriers and denial categories.
• Experience with healthcare billing systems, electronic claims platforms, and revenue cycle software.
• Understanding of revenue cycle best practices and reimbursement optimization strategies.
• Ability to identify process improvement opportunities related to collections and denials.

Education

• High School Diploma or GED required.
• Associate degree or coursework in Healthcare Administration, Medical Billing & Coding, Revenue Cycle Management, or a related field is preferred.

Why Apply?

• Competitive hourly compensation.
• Opportunity to transition into a permanent position.
• Gain experience with a respected healthcare organization.
• Collaborative and supportive revenue cycle team environment.
• Opportunity to make a direct impact on reimbursement performance and financial operations.

Benefits: Available upon permanent hire, in accordance with company policy. Additional details will be discussed during the interview process.

Working hours: Onsite

Monday to Thursday, 9am to 5pm

Friday, 9am to 2pm

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We are an equal opportunity and affirmative action employer and will consider all applications without regard to race, sex (including gender, pregnancy, sexual orientation and gender identity), age, color, religion or creed, national origin or ancestry, veteran status, disability (physical or mental), genetic information, citizenship or any other characteristic protected by law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Candidates who apply for roles will be added to our candidate pool and may be considered for additional roles of a simi

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