A/R - Revenue Cycle Representative (Healthcare)

Healthcare Chaos Management (HCM)

Healthcare Chaos Management (HCM) is a nationally scaled healthcare revenue cycle organization with over 40 years of industry experience, currently evolving into a modern Healthcare company. We partner with hospitals and healthcare systems across the United States to optimize revenue operations, improve patient financial experiences, and drive measurable outcomes through a blend of human expertise and intelligent automation.

At HCM, we convert complexity into coherence, combining deep revenue cycle knowledge, advanced technology, and a people-first mindset.

Position Overview

The Revenue Cycle Specialist is responsible for supporting end-to-end revenue cycle operations for assigned clients, ensuring claims are processed accurately, timely, and in compliance with payer and regulatory requirements. This role plays a critical part in driving reimbursement, resolving denials, and maintaining clean accounts receivable.

This is an ideal opportunity for a revenue cycle professional who is detail-oriented, analytical, and motivated to grow within a fast-evolving healthcare and technology-driven organization.

Key Responsibilities

Claims Submission & Insurance Follow-Up

• Submit professional and/or institutional claims in accordance with payer guidelines.
• Monitor insurance aging reports and prioritize unpaid or underpaid claims for follow-up.
• Perform insurance follow-up via payer portals and telephone communication to drive timely resolution.

Denial Management & Appeals

• Research, analyze, and resolve claim denials efficiently.
• Identify root causes of denials and take corrective action to prevent recurrence.
• Prepare and submit appeals with appropriate documentation to maximize reimbursement.

Insurance Verification & Authorizations

• Collaborate with internal teams and external partners to support authorization and utilization management processes.
• Verify insurance coverage and ensure accurate documentation within billing systems.

Remittance Transaction Posting

• Post payments, adjustments, and transactions accurately and timely.
• Resolve payment discrepancies, underpayments, and delays to effectively manage AR.
• Communicate with payers to reconcile payment issues and ensure proper reimbursement.

Credit Balance Resolution

• Review and resolve credit balance accounts.
• Process refunds to appropriate parties or initiate correction of posting or adjustment errors.

Compliance & Documentation

• Ensure all work complies with federal, state, local, and client-specific policies and procedures.
• Maintain accurate and complete documentation within billing systems.
• Adhere to HIPAA and confidentiality requirements when handling protected health information.

Collaboration & Process Improvement

• Identify trends, discrepancies, or process gaps and escalate to appropriate departments.
• Partner with internal teams (coding, patient access, analytics, technology) to support continuous improvement initiatives.
• Contribute to a collaborative, solution-oriented team environment.

Customer Service & Communication

• Provide professional and timely support to internal stakeholders and external clients.
• Communicate clearly and effectively, both verbally and in writing, to resolve issues and align on next steps.

Key Performance Indicators (KPIs)

Performance in this role will be measured by:

• Production: Consistently meet or exceed account resolution targets by completing an expected volume of accounts and timely completion of assigned worklists and tasks
• Quality: Accuracy and compliance in claims processing, follow-up, and documentation.
• Resolution Rate: Successful resolution of unpaid claims and denials.

What We Offer

• Competitive Compensation: Based on experience and role alignment.
• Medical, Dental & Vision Insurance: Comprehensive coverage options.
• Life Insurance: Employer-provided life insurance.
• Flexible Time Off (FTO):
• 401(k) Plan: Employer match to support long-term financial goals.
• Additional Benefits: Flexible scheduling options, collaborative team culture, and growth opportunities.

Minimum Qualifications

Experience & Knowledge

• Minimum of 2+ years of experience in revenue cycle management, medical billing, or healthcare reimbursement.
• Experience working with Medicare, Medicaid, and commercial insurance payers.

Systems & Technical Skills

• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Experience using healthcare billing systems such as Epic or Meditech.
• Experience with Salesforce or similar CRM/workflow platforms is a plus.
• High Speed Internet

Core Competencies

• Strong attention to detail and analytical skills.
• Ability to research, interpret, and resolve billing and reimbursement issues.
• Excellent written and verbal communication skills.
• Demonstrated customer service mindset when working with internal teams and clients.
• Dedicated workspace within your residence

Work Environment & Schedule

• Location: Hybrid remote role based in Indianapolis, IN (46220)
• Schedule: Full-time, Monday through Friday
• Environment: Primarily office-based with moderate noise levels

Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

Join the HCM Team

At Healthcare Chaos Management, you will play a meaningful role in strengthening revenue cycle performance for healthcare organizations nationwide. If you are driven by accuracy, accountability, and impact—and want to grow with a company at the intersection of healthcare and technology—we encourage you to apply and join our team.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Paid time off
• Vision insurance

Application Question(s):

• Which areas of the revenue cycle have you worked in, and for how many years?

(Select all that apply and indicate total years of experience.)
☐ Patient Access / Registration (Years: _)
☐ Eligibility & Benefits Verification (Years: _)
☐ Charge Entry / Coding Support (Years: _)
☐ Claims Submission (Years: _)
☐ Accounts Receivable Follow-Up (Years: _)
☐ Denials Management / Appeals (Years: _)
☐ Payment Posting / Reconciliation (Years: _)
☐ Credit Balance Resolution / Refunds (Years: _)
☐ Credentialing (Years: _)
☐ I do not have revenue cycle experience

• How many years of experience do you have submitting claims, following up on unpaid claims, and managing claim denials or appeals?

☐ Less than 1 year
☐ 1–2 years
☐ 3–5 years
☐ 5+ years
☐ No experience

• How many years of experience do you have working with insurance payers and billing portals (Medicare, Medicaid, and/or Commercial)?

☐ Less than 1 year
☐ 1–2 years
☐ 3–5 years
☐ 5+ years
☐ No experience

• Which of the following EMR or billing systems have you used while working live patient calls (proficient level)?

(Select all that apply)
☐ Epic
☐ Cerner
☐ Meditech
☐ Athenahealth
☐ NextGen
☐ Allscripts / Veradigm
☐ Waystar
☐ Change Healthcare
☐ Availity
☐ Other EMR or billing system
☐ I do not have EMR experience

• How many years of experience do you have managing accounts receivable follow-up, transaction posting, or credit balance resolution?

☐ Less than 1 year
☐ 1–2 years
☐ 3–5 years
☐ 5+ years
☐ No experience

• Please indicate your desired hourly pay range for this role.

Work Location: Remote