Pro JTS - Revenue Cycle Specialist v3

TRC Talent Solutions is partnering with JTS Health Partners and hiring Revenue Cycle Specialists!

This is a fully remote, full-time opportunity with JTS Health Partners’ Revenue Cycle Management team. This role is ideal for professionals with hospital back-end billing, denials management, or cash applications experience who want to make a real impact on healthcare organizations’ financial performance. As a Revenue Cycle Specialist, you’ll analyze accounts, resolve underpayments, appeal denials, and ensure accurate reimbursement — all while collaborating with payers, patients, and providers to drive results.

Key Responsibilities:

• Analyze accounts to identify underpayments, billing discrepancies, and claim denials.

• Review EOBs, remittances, and payer documentation to resolve outstanding claims.

• Submit appeals, reconsiderations, and corrected claims for denied or underpaid accounts.

• Communicate with payers, patients, and clients via phone and written correspondence.

• Navigate payer portals such as Availity, Optum, MMIS, and Medicare contractors.

• Work AR reports and resolve credit balances.

• Apply Lean process improvement methods to streamline daily workflows.

• Ensure compliance with payer requirements, standard work procedures, and organizational policies.

Required Qualifications:

• 1+ year of hospital back-end revenue cycle experience (denials, billing, cash applications, etc.) OR 2+ years in an accounting/finance environment.

• High school diploma or GED.

• Proficiency in Microsoft Excel and MS Office tools.

• Knowledge of claim submission, insurance follow-up, and remittance analysis.

• Strong analytical, problem-solving, and communication skills.

• Excellent time management and organizational skills.

Preferred Qualifications:

• Associate or Bachelor’s degree in Healthcare Administration, Business, or related field.

• HFMA Certified Patient Account Representative (CPAR/ACPAR) or Certified Revenue Cycle Representative (CRCR).

• Experience in Lean process improvement.

What We Offer:

• 100% Remote: Work from the comfort of your home with a secure setup.
• Small team culture with big company benefits.
• Paid Time Off and Holidays.
• 401(k) with employer match.
• Annual profit sharing (awarded 14 out of the last 15 years).
• A supportive environment that promotes career growth and skill development.

JTS is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. JTS makes hiring decisions based solely on qualifications, merit, business needs. You will be required to comply with all JTS Health Partners’ policies including our Information Security Policy and all its responsibilities.

JTS is a drug-free workplace and does conduct pre-employment drug testing and we use E-Verify to confirm the identity and employment eligibility of all new hires.