JOB 22742 – Revenue Cycle Specialist

Location: Fully remote – Must be a supported work location
Applicants cannot reside in CA, CO, DE, IL, MA, MI, NJ, NY, OR, WA

Pay: $20.00 per hour

Type: Contract to hire

Schedule: M-F, 8:00 AM to 5:00 PM EST

Job description:

1. Manage complex insurance claims including workers’ compensation, commercial, managed care, federal/state agencies, and other third-party payers, ensuring timely filing, follow-up, and collection.
2. Review and validate coding accuracy (CPT, ICD-10) using Medicare guidelines and payer-specific rules; enter claim details and actions into practice management systems with precision.
3. Investigate and resolve claim issues, including denials and underpayments; apply appropriate adjustments, discounts, and write-offs while adhering to policies and procedures.
4. Collaborate with providers and office staff to correct missing or erroneous data, and assist patients with billing inquiries, insurance verification, and payment processing.
5. Maintain compliance and professional standards, including HIPAA regulations, while staying current on coding updates through newsletters, webinars, and training.
   

Nice to have:

• Posting procedures and medical billing guidelines
• CPT, ICD-10
• Medicare, Medicaid, HMO commercial billing guidelines
• Knowledge of multiple procedure bundle(s) for surgeons
• Knowledge of contracts, discounts, claim payments
• Specialty practice
• Certification or coursework in billing, coding, or healthcare admin

Requirements:

• Must have recent prior experience with payer-specific billing rules and edits.
• Must have (2) years of recent experience in healthcare billing/administrative support.
• Must be MS Office proficient and computer proficient to navigate EMRs.
• Must have a private, designated workspace (HIPAA compliant).
• Must submit speed test: 25 Mbps download speed/10 Mbps upload speed.
• High school diploma or equivalent
• Background check required
• Drug screening required