Revenue Cycle Specialist
Transformcap
Position Summary 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 3–5 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. #J-18808-Ljbffr Transformcap
- ...Position Summary 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...Suggested
- Job 173455 - Revenue Cycle Specialist Brookfield, IL Oversees the revenue cycle of our not-for-profit company; billing for private pay, Medicare, and secondary insurances. Receive cash collections and complete bank deposits. Follow-up with delinquent accounts and the collection...SuggestedWork experience placement
$18.92 - $23.46 per hour
...referrals, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates while working within standard or accepted practice limits. Credentialing/re‑...SuggestedHourly payFull timeContract workTemporary workLocal areaRemote workFlexible hours$18.92 - $23.46 per hour
Vital Care Infusion Services in the Town of Texas, WI, seeks a dedicated professional for a full-time remote role managing patient referrals and billing processes. The position requires excellent communication skills and a strong understanding of billing practices. Candidates...SuggestedHourly payFull timeRemote work- ...We are hiring a Revenue Cycle Lead to join the Catalpa Health team. As a Revenue Cycle Lead with Catalpa Health, you will be an integral team member who supports the efforts of the revenue cycle team with timely and accurate billing and claims processing. Who We...SuggestedTemporary workCasual workWork at officeLocal areaMonday to FridayDay shift
- ...Position Title Revenue Integrity Specialist Location Upland Hills Health - Dodgeville Hospital Campus Role & Department Revenue Integrity Specialist in the Revenue Cycle Department Hours & Shift Full-time (1.0 FTE) Day Shift Position, Monday through Friday Position Summary...Daily paidFull timeContract workTemporary workPart timeMonday to FridayShift workDay shift
- Mile Bluff Medical Center in Mauston, Wisconsin is seeking a Denial Management Specialist who will assess and improve processes to reduce denials and optimize accounts receivable. This full-time role involves analyzing denial trends, creating reports, and collaborating...Full time
$17 - $18.15 per hour
...rotation We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties... ...Required Certifications: ~ HFMA Certified Revenue Cycle Representative (CRCR) within 9 months of hire #LI-LL1...Full timeWork at officeShift workWeekend workDay shift- ...Revenue SpecialistSchneider is seeking a Revenue Specialist in Green Bay to resolve customer billing discrepancies and overcharge claims. The Revenue Specialist will handle rate entry and invoice tasks and find ways to implement improvement opportunities.Responsibilities...
$17 - $18.15 per hour
...on-call. We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties... ...School Diploma/GED Required Certifications: ~ HFMA Certified Revenue Cycle Representative (CRCR) within 9 months of hire...ReliefWork at officeShift workWeekend work$29.62 - $45.31 per hour
...Information Requisition ID: 424798 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 501...Minimum wageFull timeWork experience placementLocal areaRemote workShift work- ...issues. The position contributes to the accuracy of system-level net revenue reporting in the financial statements and develops impactful... ...relationships and dependencies from all aspects of the revenue cycle and reimbursement sources on the net revenue performance. Prepares...Contract workWork experience placement
$17 - $18.15 per hour
...Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals... ...Bay, WI. We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting...Work at officeLocal areaRemote work$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite...ReliefWork at officeLocal areaRemote work- ...Degree in Business, Finance, Health Information Management, or related field (Preferred) 2 years of experience in a healthcare revenue cycle or clinic operations role (Required) Epic experience (Required) Three years of experience in a healthcare revenue cycle, specific...
- ..., repair, and rental order pipeline. Supports the attainment of revenue goals by ensuring that funding cases are processed in accordance... ...development of new initiatives to drive top line sales growth, reduce cycle time, and improve inter-departmental operations. Provide...Live inRemote work
- ...Onboarding/training of new or existing coding specialist staff. CLAIM DENIALS / BILLING ISSUES... ...to reduce denials and enhance revenue. PROTOCOLS Develop and maintain all protocols... ...the most important questions and fuel the cycle of innovation that shapes the future of...Full timePart timeWork at officeLocal areaRemote workFlexible hours
- ...are, and building quality relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each... ...on all accounts to facilitate smooth processing through the revenue cycle Verify insurance benefits for all plans associated with patient...Part timeNight shift
- ...The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store... ...distribution center, assist with monthly stock adjustments, inventory cycle counts, etc. Operate brake lathe and other store test...Full timeLocal areaFlexible hours
- General Information Job title: Denial Management Specialist Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:... ...write offs to optimize A/R. Position Responsibilities Creates Revenue Cycle reports Responsible for collecting, researching and...Full timeWork experience placementMonday to Friday
$23.37 - $32.71 per hour
...CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Charge Capture Specialist II REPORTS TO POSITION: Revenue Integrity Leadership DEPARTMENT: Revenue Integrity... ...preferred. EXPERIENCE: Required: Two (2) years Revenue Cycle Charge Capture experience required. Related healthcare...Hourly payPart timeRemote workRelocationShift workDay shift- Emerus is seeking a Patient Access Specialist to act as a liaison among patients, payers and the hospital revenue cycle. You will verify demographics, collect out-of-pocket responsibilities, and secure accurate insurance information at admission. Responsibilities include...
- ...Responsibilities Uphold clinic guidelines and standards related to patient confidentiality (HIPAA). Monitor and keep assigned EPIC revenue cycle work queues completed and cleared. Register new patients. Correct demographic, insurance and financial data entry into EPIC as...
- Advocate Health in Wisconsin seeks a Part-time Patient Service Representative for the Enterprise Revenue Cycle in Sheboygan. You will register patients, gather demographics and insurance data, and explain financial responsibilities to patients, ensuring accuracy and HIPAA...Part time
$22.4 - $33.6 per hour
...Medication Access Specialist Join the #1 hospital in Wisconsin! We are seeking a Medication Access Specialist to: Collaborate... ...related field Required ~2 years of experience in Healthcare Revenue Cycle that includes prior authorization Preferred ~2 years of...Temporary workWork experience placementShift work- ...for international travelers and driving revenue for retailers through a fully integrated... ...do. A glimpse in your role: As a Payment Specialist - Payments at Global Blue by Shift4, you... .... Close deals in a fast-paced sales cycle and sign new logos in the assigned territory...Local areaWorldwide
- ...Associate Specialist, BPS Operations Processing At FIS, our technology and our people are moving forward. We advance the way the world... ...our customers, communicating professionally throughout the life cycle of a transfer. What You Will Be Doing Develops...
$29.28 - $45.38 per hour
...Bonus ~ Paid time off and Holiday pay Description The Revenue Integrity Analyst reflects the mission, vision, and values of... ...Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price...Hourly payFull timePart timeWork experience placementWork at officeLocal areaRelocation packageFlexible hours$27 - $40 per hour
...Lead CNC Setup Specialist Multi-Axis HMC/VMC (Early-Out Fridays) $27.00 - $40.00/Hour Starting Baseline (scaling directly with setup &... ...directly at the controller, optimizing tool paths and machine cycles for intricate aerospace and defense components. Conduct rigorous...Contract workLocal areaWeekend workDay shift- SummaryThe Aftermarket Quote Specialist works in a fast-paced environment and must be able to successfully manage multiple quoting and... ...develop this role by taking ownership, supporting, and driving revenue.Principle Duties and ResponsibilitiesReview requests for quotes...
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