Revenue Cycle Specialist - Manning - Business Office

Revenue Cycle Specialist - Manning - Business Office Manning House I, 450 W. Paseo Redondo, Tucson, Arizona, United States of America Job Description Posted Thursday, June 11, 2026 at 9:00 AM Salary: $17.57 - $24.16 depending on experience Schedule: Monday‑Friday JOB PURPOSE: The Revenue Cycle Specialist, as part of a team, is responsible for performing at a specialist level administrative and fiscal duties in support of the Business Office Department. The role involves optimizing workflow and processes within the EPIC Electronic Health Record (EHR) system, managing cash inflow activities, and supporting resolution of obstacles to billing. The specialist works in either a medical or dental receivable assignment, following standardized procedures and policies with minimal judgment. Supervision is intermittent, and exceptions to standard policies are resolved with the supervisor. Essential Job Functions Perform administrative, technical, and fiscal duties supporting the Business Office within established periods, meeting performance standards for quality, efficiency, and accuracy. Maintain patient confidentiality and comply with HIPAA and corporate standards. Participate in meetings with third‑party payers to resolve contractual discrepancies or payment issues. Create and complete system tasks related to revenue cycle elements, evaluating accuracy of patient financial information, verifying covered services, and managing appeals and claims follow‑up. Communicate payment trends, non‑payment, or incorrect payments to the management team. Advocate and educate patients and providers regarding billing concerns, and establish patient payment plans. Research, review, interpret, and process healthcare services and claims to support accurate patient account and payer balances, applying correct account adjustments based on CPT, regulatory, and payer rules. Post third‑party and patient payments, adjustments, or denials to maintain accurate account balances. Verify patient insurance coverage and eligibility; obtain proper medical releases as required. Assist in continual improvement projects, providing feedback on processes and newly implemented changes. Complete system tasks and processing related to revenue cycle elements such as evaluating financial information, managing claim resubmissions, completing projects with management, and supporting a professional work environment. Demonstrate exceptional customer service, responding promptly to calls, emails, and inquiries; refer technical inquiries or complaints to appropriate staff. Communicate effectively in written, verbal, and interpersonal interactions with employees, clients, and patients. Ensure accurate information in patient accounts and payer balances through data entry, posting, and reclassification of charges. Maintain understanding of ICD, CPT, and applicable federal, state, and commercial payer requirements, regulations, or laws. Attend and participate in conferences, workshops, and training related to receivables billing, coding, and compliance standards. Maintain a clean, safe, and hygienic work environment in compliance with policies and procedures. Understand and apply compliance and reporting requirements for Joint Commission Certification (JCC) standards. Minimum Education and Experience High School Diploma or General Education Diploma (G.E.D.). Three (3) years’ experience in medical or dental account receivables or claims examination in a healthcare environment. Equivalent education and experience may be considered if directly related. Required Licenses, Certifications, and Registrations Level I fingerprint clearance card, current and in good standing, or must be applied for within seven working days after employment starts. Reliable transportation meeting operational reassignments; valid driver’s license and compliance with Arizona vehicle insurance requirements if driving during work hours. Preferred Education, Experience, Skills, Abilities Five (5) years’ experience in medical or dental account receivables or claims examination. Preferred coding certification. Bilingual (English/Spanish) with reading, writing, and speaking proficiency. Equal Opportunity Employer Statement El Rio Health does not discriminate based on race, color, religion, sex (including pregnancy, and sexual orientation), parental status, national origin, age, disability, genetic information, political affiliation, military service, or other non‑merit‑based factors. Selection decisions are based on job‑related factors. El Rio Health is an equal opportunity employer. El Rio Health requires all AZ employees to have a Level One Fingerprint Clearance card. New hires and transfers must submit the card or receipt within 30 days after the hire or transfer date. All employees are strongly recommended to maintain vaccination status (e.g., influenza) subject to exemptions and accommodations. All employees are required to undergo drug testing prior to employment and may be subject to ongoing testing under federal and state regulations. El Rio Health is a non‑profit 501(c)(3) Federally Qualified Health Center (FQHC) and abides by federal Drug‑Free Workplace standards. #J-18808-Ljbffr El Rio