Revenue Cycle Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Revenue Cycle Specialist based in United States.

This role is responsible for supporting accurate, efficient, and timely revenue cycle operations across patient accounts and insurance claims. You'll help maximize reimbursement by managing the full billing process, from eligibility and benefits verification through claim submission and payment follow-up. Working closely with revenue cycle, admissions, utilization review, and compliance teams, you'll help maintain strong and consistent financial processes. You'll investigate denied and rejected claims, resolve outstanding account balances, and identify opportunities to improve billing workflows. The position also involves direct communication with patients and insurance payers, requiring professionalism, accuracy, and strong attention to detail. Your work will play an important role in reducing outstanding receivables while ensuring patient accounts and claims remain accurate and up to date.

Accountabilities:

• Process patient demographic and insurance information accurately and within required timelines.
• Verify patient eligibility and insurance benefits, completing reverification when needed.
• Prepare and submit clean claims to insurance payers through electronic and mailed channels.
• Maintain professional and effective relationships with insurance companies and other relevant payer contacts.
• Follow up on denied and rejected claims, investigate issues, and take appropriate action to support timely resolution.
• Monitor patient accounts receivable and follow up on outstanding balances to reduce delinquency and improve collections.
• Identify recurring billing issues and opportunities to improve revenue cycle processes, claim accuracy, and denial resolution.
• Respond professionally and clearly to patient questions regarding billing, insurance coverage, and account balances.
• Maintain accurate, complete, and current documentation for claims, patient accounts, and related revenue cycle activities.
• Collaborate with revenue cycle, admissions, utilization review, compliance, and other teams to support effective end-to-end processes.
• Perform additional revenue cycle and administrative responsibilities as assigned.

Requirements:

• High school diploma or GED is required; a bachelor's degree in business or a related discipline such as statistics, computer science, or analytics is preferred.
• At least 3 years of experience in revenue cycle operations, particularly benefits verification, medical billing, and accounts receivable follow-up.
• Experience working with CPT and ICD-10 coding and familiarity with medical terminology.
• Strong understanding of insurance eligibility, claims submission, payer follow-up, denials, and patient account management.
• Excellent attention to detail and a high level of accuracy when handling patient, insurance, and financial information.
• Strong investigative and problem-solving skills, with the ability to identify billing issues and determine appropriate resolutions.
• Effective written and verbal communication skills for interacting with patients, insurance payers, and internal teams.
• Strong organizational and time-management abilities, with the capacity to manage multiple patient accounts and claims while meeting deadlines.
• Ability to maintain accurate records and handle confidential patient and financial information appropriately.
• Collaborative, dependable, and proactive approach to identifying and resolving revenue cycle issues.

Benefits:

• Compensation and benefits are provided as part of the overall employment package.
• Opportunity to contribute to efficient revenue cycle operations and improved reimbursement outcomes.
• Collaborative work with revenue cycle, admissions, utilization review, compliance, and other healthcare teams.
• Professional environment offering exposure to healthcare billing, insurance processes, claims management, and accounts receivable.
• Opportunity to develop expertise across medical billing, payer relationships, denial resolution, and revenue cycle operations.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?


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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.