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The Enterprise Revenue Cycle Specialist is responsible for managing Accounts Receivable and resolving clearinghouse rejections across multiple specialties and clients. This role requires deep end to end revenue cycle knowledge, with a primary focus on claim correction, payer follow up, and driving timely reimbursement. This individual operates in a high volume, multi client environment and is expected to work independently, identify root causes, and reduce rework through accurate and efficient resolution of claim issues.
Job Responsibility:
Accounts Receivable Management
Clearinghouse Rejection Resolution
Claims & Billing Accuracy
Root Cause Analysis & Process Improvement
Cross Functional Collaboration
Requirements:
Minimum 5 plus years of experience in Revenue Cycle Management with strong focus on AR follow up and claims or rejections
Proven experience working clearinghouse rejections and payer denials across multiple specialties
Strong understanding of the full revenue cycle including billing, coding fundamentals, and payer guidelines
Experience working with multiple EMRs and clearinghouses such as Availity, Change Healthcare, Waystar or similar
Ability to manage high volume workloads while maintaining accuracy and productivity standards
Strong analytical and problem-solving skills
Nice to have:
Multi-specialty experience including radiology, ophthalmology, or surgical practices
Experience in a multi-client or outsourced RCM environment
Familiarity with automation tools or workflow optimization initiatives