Revenue Cycle Management Specialist Job at Robert Half (Minnetonka)

Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to join a healthcare or...

Location

United States , Chicago

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in healthcare revenue cycle, medical billing, or claims management
Hands-on knowledge of Medicare and Medicaid billing practices, including claim review, submission, and follow-up
Familiarity with CMS regulations, reimbursement methodologies, and healthcare audit expectations
Experience resolving denied or underpaid medical claims and improving billing accuracy
Understanding of revenue cycle processes across charge capture, claims processing, and payment reconciliation
Background working in an FQHC or similar healthcare setting is strongly preferred
Strong analytical skills with the ability to identify process gaps and support compliance-focused billing operations

Job Responsibility

Manage day-to-day revenue cycle activities, including charge review, claim submission, payment posting, denial follow-up, and account resolution
Prepare and submit accurate medical claims for Medicare, Medicaid, and other applicable payers while ensuring timely reimbursement
Investigate billing discrepancies and denied claims, identify root causes, and take corrective action to reduce payment delays
Conduct audits of billing and reimbursement activity to confirm alignment with CMS guidelines and internal compliance standards
Monitor revenue cycle performance trends and recommend process improvements that support cleaner claims and stronger collections
Collaborate with clinical, administrative, and finance teams to resolve account issues and maintain accurate documentation for billing purposes
Support billing operations within an FQHC environment, including payer-specific requirements related to Medicare and Medicaid programs
Maintain current knowledge of reimbursement regulations, risk adjustment considerations, and evolving government payer requirements

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

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

Revenue Cycle Management Specialist

We are looking for a skilled Revenue Cycle Management Specialist to oversee and ...

Location

United States , Minneapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in healthcare revenue cycle management, including billing, coding, and collections
Knowledge of Medicare and Medicaid billing processes, claims, and eligibility requirements
Expertise in analyzing financial data and key performance indicators
Familiarity with federal and state healthcare regulations and payer compliance
Strong leadership and team management skills
Proficiency in managing hospital revenue cycle operations
Ability to conduct audits and implement quality assurance measures
Excellent communication and reporting skills for collaboration with senior leadership

Job Responsibility

Lead and manage the revenue cycle team, including billing, coding, collections, and patient financial services
Develop and implement policies and procedures to ensure compliance with healthcare regulations and payer requirements
Analyze and monitor key performance indicators (KPIs) such as denial rates, cash collections, and accounts receivable days
Investigate and resolve issues impacting revenue cycle performance, including claim denials and underpayments
Ensure accurate charge capture, coding, and timely submission of medical claims
Collaborate with finance and operations teams to forecast revenue and manage cash flow effectively
Prepare and present detailed reports on revenue cycle performance to leadership teams
Conduct audits and quality assurance checks to ensure compliance with federal, state, and payer regulations
Implement strategies to minimize errors and mitigate financial risks
Stay updated on industry standards and adapt processes to align with evolving regulations

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Billing Specialist, Revenue Cycle, FT

Responsible for working/editing daily download of assigned Managed Care/HOM clai...

Location

United States , Boca Raton

Salary:

16.04 - 19.41 USD / Hour

Baptist Health

Expiration Date

Until further notice

Requirements

Degrees: High School,Cert,GED,Trn,Exper.
AA preferred or equivalent
Managed Care/HMO contract billing experience required
3-5 years prior experience in Billing of claims
Understanding of all required fields on a 1500 and/or UB for hospitals and diagnostic facilities is required
Background in coding or coding certification (CPC, CPC-H, CCS, or RMC) a plus
Exp in other related Business Office Functions including Federal Programs, such as: Collections, refunds, review and adjudication of claims a plus
Knowledge and understanding of: Medical terminology, Correct Coding Initiative, Revenue Codes, DRG Guidelines, ICD-9/10, CPT-4, Modifiers & HCPCS codes, HIPAA regulations, statutory regulations, On-line verifications (DDE)
Internet savvy
knowledge of Microsoft Suite a must

Job Responsibility

Working/editing daily download of assigned Managed Care/HOM claims
Optimizing the timely transmittal of accurate and clean claims daily
Identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission
Protecting payer filing deadlines by utilizing all available resources to resolve held claims
Assuring all known regulatory, contractual, compliance, and BHSF guidelines are adhered to
Taking on additional queues as back up to billing all carriers
Utilizing available system resources to resolve claim issues when appropriate
Reporting any billing system issues to Billing management
Assisting other Billing Specialists with claim resolution or other projects as assigned

What we offer

Career growth and development opportunities
Comprehensive health and wellness resources
Wellness program that can help employees eliminate their medical plan deductible
Tuition reimbursement

Fulltime

Enterprise Revenue Cycle Specialist

The Enterprise Revenue Cycle Specialist is responsible for managing Accounts Rec...

Location

United States , Oak Brook, Illinois

Salary:

26.00 USD / Hour

Jorie AI

Expiration Date

Until further notice

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

Job Responsibility

Accounts Receivable Management
Clearinghouse Rejection Resolution
Claims & Billing Accuracy
Root Cause Analysis & Process Improvement
Cross Functional Collaboration

Fulltime

Revenue Cycle Specialist

The purpose of this position is to facilitate timely collection of invoices. Thi...

Location

United States , Bristol; Blountstown

Salary:

Not provided

Aria Care Partners

Expiration Date

Until further notice

Requirements

Associate’s degree preferred, or equivalent work experience
2+ years’ experience in accounts receivable/collections/customer service/or account management
Proficient with Microsoft Office products (Excel, Word, Outlook)
Experience working in Salesforce or other CRM systems
Problem solving — Identify and resolve problems in a timely manner
Customer service — Manage difficult client/customer situations, respond promptly to customer needs, solicit customer feedback to improve service, respond to requests for service and assistance and meet commitments
Planning/organizing — Prioritize and plan work activities and use time efficiently
Quality control/Attention to detail — Demonstrate accuracy and thoroughness
monitor own work to ensure quality and apply feedback to improve performance
Adaptability — Adapt to changes in the work environment, manage competing demands, and deal with frequent change, delays, or unexpected events

Job Responsibility

Communicates with and builds a positive relationship with assigned facilities in order to facilitate timely payment of invoices
Contacts responsible parties to obtain payment for outstanding invoices
Contacts case workers as necessary to expedite Medicaid adjustments
Works in phone queue to answer questions about Senior Dental Care billing
Cleary documents all interactions in Salesforce
Recommends write-offs for uncollectable accounts
Partners with internal stakeholders to meet company objectives
Provides periodic updates to supervisor on assigned accounts
Performs other duties as assigned

What we offer

PTO and Paid Holidays for FT Employees
401k Retirement Plan with Company Match
Insurance programs including medical, dental, vision, company match for your HSA, FSA, company-paid EAP, and life and disability insurance, and more

Fulltime

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Revenue Cycle Specialist

We are looking for a skilled Revenue Cycle Specialist to join our team in Emeryv...

Location

United States , Emeryville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience in medical coding with expertise in ICD-10 and CPT codes
Certification in medical coding (e.g., CPC, CCS, or equivalent) is required
Strong knowledge of outpatient coding and commercial insurance processes
Familiarity with handling claim denials and insurance appeals
Excellent analytical skills to identify and resolve coding discrepancies
Ability to work collaboratively with healthcare providers and insurance representatives
Attention to detail and commitment to maintaining accuracy in coding
Familiarity with current industry standards and regulations related to medical coding

Job Responsibility

Accurately apply ICD-10 and CPT codes to medical records and claims
Review and analyze outpatient coding to ensure compliance with regulatory standards
Manage and resolve insurance denials and claim discrepancies effectively
Collaborate with healthcare providers to validate coding accuracy and address coding-related inquiries
Monitor claims for commercial insurance to ensure timely processing and reimbursement
Identify trends in claim denials and implement corrective actions to minimize future issues
Assist in maintaining updated coding certifications and staying informed about changes in coding practices
Communicate with insurance companies to negotiate resolutions for denied claims
Support the revenue cycle team in optimizing workflows and achieving financial goals

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

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Revenue Cycle Management Specialist

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