Revenue Cycle Management Specialist Job at Robert Half (Minneapolis)

Revenue Cycle Management Specialist

Senior Accountant specializing in Revenue Cycle Management with solid background...

Location

United States , San Antonio

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor's degree in Accounting, Finance, or related field
CPA or Master's degree preferred
Minimum 5 years of accounting experience
At least 2 years in revenue cycle management within healthcare or clinical research environment
Strong background in oncology clinical trials including sponsor/grant billing, contract management, and regulatory compliance
Proven ability to work with large, complex datasets and clinical trial management systems
Advanced skills in Excel
Experience with ERP and CRM systems preferred
Excellent analytical, problem-solving, and communication skills

Job Responsibility

Oversee and manage all aspects of revenue cycle related to oncology clinical trial operations including billing, collections, accounts receivable, and reconciliation
Work closely with clinical research coordinators, principal investigators, sponsors, and finance teams to ensure timely and accurate setup and invoicing of clinical trial projects
Analyze revenue streams, grants, and contracts for compliance with regulatory standards and company policies
Monitor, report, and resolve billing discrepancies and reimbursement issues
Ensure revenue is properly recognized according to GAAP and healthcare accounting guidance
Prepare month-end and year-end closing activities for clinical trial revenue accounts
Conduct periodic audits of clinical trial revenue processes and identify process improvement opportunities
Support external and internal audits related to clinical research billing and revenue recognition
Maintain current knowledge of relevant regulations affecting oncology revenue cycle and clinical billing practices
Prepare and present financial reports, analysis, and forecasting related to clinical trial operations to leadership

What we offer

Medical, vision, dental, life and disability insurance
401(k) plan
Free online training

Client specialist - quality analyst

We are seeking talented individuals to join our team in Manila as Quality Analys...

Location

Philippines , Manila; Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Willing to work at our office in McKinley Hill, Taguig
Strong listening skills with attention to detail
Minimum 1 year of experience in Healthcare BPO as a Quality Analyst
Familiar with revenue cycle management process
Knowledge of Healthcare terminology will be added advantage

Job Responsibility

Listen to recorded and live customer interactions to assess agent performance, adherence to scripts, and compliance with company guidelines
Conduct thorough evaluations of calls, chats, and emails based on predefined criteria to measure service quality and identify areas for improvement
Provide constructive feedback and coaching to agents based on evaluation results to enhance their skills and performance
Generate regular reports on quality metrics, trends, and performance indicators to management, highlighting areas of excellence and opportunities for improvement
Collaborate with training teams to develop and deliver training materials and modules based on identified needs and trends
Identify process gaps, inefficiencies, and areas for enhancement in customer service operations, and propose solutions to streamline workflows and enhance overall service quality
Ensure that agents adhere to regulatory requirements, company policies, and industry standards in all customer interactions
Participate in quality improvement initiatives, calibration sessions, and team meetings to foster a culture of continuous improvement and excellence

Medicaid Billing Specialist

Pafford Medical Services is seeking a detail-oriented and experienced Medicaid B...

Location

United States

Salary:

Not provided

Pafford EMS

Expiration Date

Until further notice

Requirements

Minimum of 2-3 years of experience in medical billing, with a focus on Medicaid billing and follow-up
In-depth knowledge of Medicaid regulations, coding (ICD-10, CPT), and billing procedures
Experience with medical billing software and electronic health records (EHR) systems
Strong analytical and problem-solving abilities
Excellent attention to detail and accuracy
Effective communication and interpersonal skills
Ability to work independently and manage multiple tasks
Proficiency in Microsoft Office Suite (Word, Excel)
High School Diploma or GED
Minimum of 2-3 years revenue cycle management experience

Job Responsibility

Accurately prepare and submit Medicaid claims for services rendered by Pafford EMS
Ensure all claims are coded correctly and comply with Medicaid regulations and guidelines
Monitor and verify patient eligibility and insurance coverage
Conduct follow-up on outstanding claims and ensure timely resolution of billing issues
Communicate with Medicaid offices, patients, and other relevant parties to resolve claim discrepancies, denials, or rejections
Review and appeal denied claims, providing necessary documentation and information
Maintain accurate and up-to-date records of billing activities, payments, and follow-ups
Generate regular reports on billing status, outstanding claims, and payment trends
Stay informed about changes in Medicaid regulations and billing procedures
Participate in training and development opportunities to enhance knowledge and skills

Fulltime

Medical Billing Specialist

Location

United States , Dothan

Salary:

Not provided

RealTime (AL)

Expiration Date

Until further notice

Requirements

Medical Billing Experience
Perform posting charges
Perform completion of claims to payers
Conduct duties in a professional and timely fashion
Submit billing data to the appropriate insurance providers
Process claims
Resolve denial instances
Perform claim follow-up
Achieve maximum reimbursement for services provided
Deploy, maintain and report on various programs

Job Responsibility

Medical billers play a vital role in the connection between health care providers, patients, and insurance companies. At RealTime, we provide excellent Revenue Cycle Management to medical practices across the Southeast and through the Midwest.

What we offer

Training
Competitive pay
Phone allowance
Generous PTO
401(k) with company match
Health & Wellness Benefits including medical, dental, and vision
Company-sponsored events for fun and fellowship

Fulltime

Client Partner – Credentialing Specialist

Join our team in Manila as a Client Partner - Credentialing Specialist. We are s...

Location

Philippines , Taguig City

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Strong knowledge of Payer Processes and Credentialing
Willingness to work continuously in night shifts
Must be fluent in English language
Willing to work in the night shift at our office in McKinley Hill, Taguig
Must have at least 1 year of experience in Credentialing processes for US healthcare customers

Job Responsibility

Manage the end-to-end provider enrollment process, ensuring healthcare providers are properly credentialed and enrolled with insurance networks
Conduct thorough review of provider documentation, ensuring compliance with credentialing requirements and proactively resolving any discrepancies
Serve as a liaison between healthcare providers and insurance companies, addressing enrollment-related inquiries and facilitating timely resolution
Maintain accurate and up-to-date provider information in databases, and collaborate with internal teams to streamline the enrollment and billing processes

Client Partner – CDI Specialist

Looking for a new challenge in your coding career? Join our Manila office as a q...

Location

Philippines , Manila

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Working knowledge of medical business office procedures and basic accounting
Fluent in English speaking and possess basic computer knowledge
Available to work in night shifts
Graduate with bachelor’s degree in nursing
2 to 3 years of work experience in nursing
Certification in Clinical Documentation Improvement (CDI) Coding

Job Responsibility

Study inpatient records and determine their authenticity
Review patients’ documentation to determine diagnosis, co-morbidities, and complications
Verify that each code assigned is accurate and correlates to the condition and diagnosis provided in the source document
Serve as a resource for coding related queries after verifying authenticity of inquirer
Ascertain that quality and integrity of coding including accurate determination of principle diagnosis, secondary diagnosis, and PCS codes
Responsible for reviewing patient medical records in the inpatient setting to capture accurate illustration of the severity of illness and facilitate proper coding
Facilitate appropriate coding that reflects the severity of the patient’s illness along with expected risk of mortality and complexity of care required
Documentation of discharge diagnoses and co-morbidities is a comprehensive reflection of the patient’s clinical status and care
Use advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps
Recognize opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding

What we offer

We will provide free training on the client’s medical billing software to perform this role

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Responsible for professional and effective written and verbal communication with both internal and external customers
Compliant with all CHRISTUS Health, payer, and government regulations
Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines

Fulltime

Patient Financial Specialist

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Revenue Cycle Management Specialist

Robert Half

Location:
United States , Minneapolis

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 06, 2026

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Location:United States , Minneapolis

Category:Finance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:January 06, 2026

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