revenue cycle management specialist

University of Southern California

<div><b>Job ID</b> REQ20177368 <b>Category</b> Keck Medicine of USC</div>
<br><div><div><div><p>As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance.<br>
<br>
<b>Essential Duties:</b></p></div><div><ul><li><p>
Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck &amp; Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.</p></li></ul></div><div><ul><li><p>
Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies.</p></li></ul></div><div><ul><li><p>
Leads and conducts meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards.</p></li></ul></div><div><ul><li><p>
Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM.</p></li></ul></div><div><ul><li><p>
Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact.</p></li></ul></div><div><ul><li><p>
Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.</p></li></ul></div><div><ul><li><p>
Synchronizes CDM data between CDM and CDM Workflow &amp; Management Tool for Keck Medical Center of USC entities on a monthly basis.</p></li></ul></div><div><ul><li><p>
Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.</p></li></ul></div><div><ul><li><p>
Provides CDM data as necessary based on identified issues in form of ad-hoc reports.</p></li></ul></div><div><ul><li><p>
Provides guidance and education to ensure that CDM&rsquo;s and Charge Capture as needed of exist and newly acquired entities (i.e. Verdugo Hills) follow the standards and policies of Keck Medical Center of USC.</p></li></ul></div><div><ul><li><p>
Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.</p></li></ul></div><div><ul><li><p>
Interprets and explains on details of charge services provided as needed.</p></li></ul></div><div><ul><li><p>
Participates collaboratively with Revenue Cycle and Ancillary team in the development, execution, and follow-up of education programs for USC Administration, Managers and Staff on all issues related to the charge master, charge capture, and new applications related processes.</p></li></ul></div><div><ul><li><p>
Participates in the development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms.</p></li></ul></div><div><ul><li><p>
Enhances professional growth and development</p></li></ul></div><div><ul><li><p>
Actively participates in team development, contributes to dashboards, and in accomplishing team, departmental, and organizational goals and objectives.</p></li></ul></div><div><ul><li><p>
Performs other duties as assigned.</p></li></ul></div><p></p><div><p><b>
Required </b><b>Qualifications:</b></p></div><div><ul><li><p>
Req Associate&rsquo;s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.</p></li></ul></div><div><ul><li><p>
Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire.</p></li></ul></div><div><ul><li><p>
Req 5 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.</p></li></ul></div><div><ul><li><p>
Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.</p></li></ul></div><div><ul><li><p>
Req Knowledge of other government and third-party payer reimbursement methodologyrequired.</p></li></ul></div><div><ul><li><p>
Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan</p></li></ul></div><div><ul><li><p>
Req Proficient skills and knowledge in MS Office/ Windows</p></li></ul></div></div><p></p><div><div><p><b>
Preferred Qualifications:</b></p></div><div><ul><li><p>
Pref Bachelor&rsquo;s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.</p></li></ul></div><div><ul><li><p>
Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).</p></li></ul></div><div><ul><li><p>
Pref Experience and knowledge of Hospital charging practices.</p></li></ul></div><div><ul><li><p>
Pref Healthcare operations experience, particularly in an acute care hospital setting.</p></li></ul></div><div><ul><li><p>
Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.</p></li></ul></div><div><ul><li><p>
Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.</p></li></ul></div><div><ul><li><p>
Pref Skills and knowledge on the following software: Cerner and Craneware</p></li></ul></div><p></p><div><p><b>
Required </b><b>Licenses/</b><b>Certifications:</b></p></div><div><ul><li><p>
Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date of hire.</p></li></ul></div><div><ul><li><p>
Pref Registered Nurse - RN (CA Board of Registered Nursing)</p></li></ul></div><div><ul><li><p>
Pref Pharmacy Technician (CA DCA)</p></li></ul></div><div><ul><li><p>
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)</p></li></ul></div></div><br>
<p></p>
Keck Hospital of USC, a 343-bed acute care hospital, provides exceptional and innovative care for complex medical and surgical conditions across a wide range of specialties. The hospital&rsquo;s world-renowned physicians deliver compassionate, customized, patient-centered care and treat the most acutely ill patients with highly innovative techniques and treatment plans. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere. Every day at Keck Hospital, physicians, nurses and staff go beyond the science of exceptional medicine to bring patients breakthroughs in the art of caring. Join this world-class team providing highly specialized care, up-to-the-minute research, and innovative clinical trials. The annual base salary range for this position is $99,507.00 - $164,559.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate&rsquo;s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
<div><b>Job ID</b> REQ20177368 <b>Posted Date</b> 07/10/2026</div></div><p></p>

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Exempt) (Non-Union)

Spooner

<div><div><div><h5 class="jobSectionHeader"><b>Full Cycle Biller - Workers' Compensation Specialist</b></h5>
<p>Headquarters - Scottsdale, AZ 85260</p>
<h5 class="jobSectionHeader"><b>Overview</b></h5>
<p>Salary Range $21.00 - $23.00 Hourly Position Type Revenue Cycle Management Job Shift Full Time Education Level High School</p>
<h5 class="jobSectionHeader"><b>Description</b></h5>
<p>At Spooner, Arizona's largest physical therapy private practice, we are most proud of our culture of excellence that is founded on our core values. Spooner has been helping our communities achieve health through movement for over 30 years, and we continue to grow in size and expertise every year. If you are looking to join a company where you can build a career, Spooner is the place for you.</p>
<p>Are you an outgoing and engaging individual committed to delivering exceptional customer service? Are you a natural communicator who enjoys communicating with diverse people? We encourage you to apply if you are ready to be at the forefront of customer service excellence!</p>
<p>As the Full-Cycle Workers' Compensation Billing Specialist, you will serve as the communications hub between the company, patients, referring providers and payers. You will be responsible for analyzing claim denials, billing/collecting payments, and reviewing patient statements for accuracy. This role is vital in ensuring our clients and stakeholders receive the best possible experience.</p>
<p>Healthcare &amp; Benefits</p>
<p>Spooner's award-winning healthcare and benefits plan is dedicated to ensuring our employees have access to health care and receive the right care, at the right time with the right provider. Spooner employees enjoy no cost expert physical therapy, hand therapy and access to a direct primary care team dedicated to keeping our team healthy.</p>
<ul><li>Student loan repayment program</li>
<li>$500 individual and $1,000 family deductibles</li>
<li>Low premiums</li>
<li>A dedicated direct primary care medical team for Spooner employees</li>
<li>Dental, vision, life, and other voluntary insurances</li>
<li>Paid time off and holiday pay</li>
<li>401(k) matching</li>
<li>Employee Assistance Program</li>
<li>Many other benefits to help keep you happy and healthy</li>
</ul><h5 class="jobSectionHeader"><b>Qualifications</b></h5>
<p>As a vital part of our Full Revenue Cycle Billing Team, you'll serve as the communication and coordination hub between injured workers, employers, case managers, providers, insurance carriers, and clinic teams. Your work will directly support timely care, accurate billing, and exceptional patient experiences throughout the workers' compensation journey.</p>
<p>In this role, you will:</p>
<ul><li>Coordinate communication between patients, adjusters, nurse case managers, providers, employers, clearinghouses, and payers regarding eligibility, authorizations, treatment approvals, claims status, and denials.</li>
<li>Verify workers' compensation coverage, medical benefits, claim details, and authorization requirements.</li>
<li>Manage inbound calls with professionalism, urgency, and exceptional customer service.</li>
<li>Obtain prior authorizations when necessary for evaluations, and therapy services based on a treatment plan.</li>
<li>Perform ongoing re-verification of benefits and claim eligibility for active workers' compensation cases.</li>
<li>Run and analyze billing reports to proactively identify issues.</li>
<li>Process charge entry, coding review, and claims submissions with a strong focus on accuracy and regulatory compliance.</li>
<li>Investigate and resolve billing edits, rejected claims, and denied services while ensuring documentation supports all billed procedures.</li>
<li>Review patient accounts and insurance correspondence, including Explanation of Benefits (EOBs), to determine next-step resolution strategies and appeal opportunities.</li>
<li>Collaborate directly with insurance carriers, third-party administrators (TPAs), and workers' compensation adjusters to monitor claim status and accelerate payment resolution.</li>
<li>Prepare detailed appeal documentation and build strong rebuttals for denied or underpaid claims.</li>
<li>Analyze denial trends and produce reporting that identifies key areas of concern by payer, volume, and financial impact.</li>
<li>Resolve assigned billing and account tasks promptly while contributing to a high-performing, patient-focused team environment.</li>
<li>Prepare an analytical summary report identifying areas of concern by dollar amount, volume and new denials.</li>
<li>Resolve tasks assigned to you and to billing.</li>
</ul><p>What You Can Expect</p>
<ul><li>A collaborative, culture-driven team environment that values growth, learning, and innovation.</li>
<li>A comprehensive onboarding and training program designed to set you up for long-term success.</li>
<li>Opportunities to expand your expertise in workers' compensation operations, medical billing, insurance authorization, and revenue cycle management.</li>
<li>A fast-paced healthcare environment where your work makes a meaningful impact on patient recovery and outcomes.</li>
</ul><p>What You Bring to the Role</p>
<ul><li>High school diploma or GED required.</li>
<li>2&ndash;3 years of experience in healthcare administration, medical billing, patient access, or revenue cycle operations.</li>
<li>Workers' compensation and/or Medicaid billing experience strongly preferred.</li>
<li>Knowledge of insurance verification, authorizations, claims processing, appeals, and denial management.</li>
<li>Exceptional communication, multitasking, and customer service skills.</li>
<li>Strong attention to detail with the ability to navigate multiple systems and prioritize effectively in a high-volume environment.</li>
<li>Commitment to professionalism, accountability, and patient-centered service.</li>
</ul><p>About Spooner</p>
<p>Spooner is a place for professionals with a growth mindset who want to push themselves to achieve excellence. Spooner began with a vision of disrupting the status quo of healthcare, and to accelerate the use of physical and occupational therapists as primary care, musculoskeletal experts. Spooner continues to grow in the greater-Phoenix area and has recently entered the Dallas-Fort Worth market. If you are interested in joining us on our journey of growth, collaboration, and disruption, you won't be disappointed!</p>
<p>This is not your common workplace. Fun and excellence go hand and hand at Spooner, and we provide ample opportunities to achieve both. Our commitment to continuous learning is evident in our culture-first environment, and we are always looking for team members to strengthen and cultivate it!</p>
<p>We promise to help you achieve excellence. We will help you become a leader. We will help you accelerate your career.</p>
</div></div><div><h5 class="jobSectionHeader"><b>Full Cycle Biller - Workers' Compensation Specialist</b></h5>
<p>Headquarters - Scottsdale, AZ 85260</p>
<h5 class="jobSectionHeader"><b>Overview</b></h5>
<p>Salary Range $21.00 - $23.00 Hourly Position Type Revenue Cycle Management Job Shift Full Time Education Level High School</p>
<h5 class="jobSectionHeader"><b>Description</b></h5>
<p>At Spooner, Arizona's largest physical therapy private practice, we are most proud of our culture of excellence that is founded on our core values. Spooner has been helping our communities achieve health through movement for over 30 years, and we continue to grow in size and expertise every year. If you are looking to join a company where you can build a career, Spooner is the place for you.</p>
<p>Are you an outgoing and engaging individual committed to delivering exceptional customer service? Are you a natural communicator who enjoys communicating with diverse people? We encourage you to apply if you are ready to be at the forefront of customer service excellence!</p>
<p>As the Full-Cycle Workers' Compensation Billing Specialist, you will serve as the communications hub between the company, patients, referring providers and payers. You will be responsible for analyzing claim denials, billing/collecting payments, and reviewing patient statements for accuracy. This role is vital in ensuring our clients and stakeholders receive the best possible experience.</p>
<p>Healthcare &amp; Benefits</p>
<p>Spooner's award-winning healthcare and benefits plan is dedicated to ensuring our employees have access to health care and receive the right care, at the right time with the right provider. Spooner employees enjoy no cost expert physical therapy, hand therapy and access to a direct primary care team dedicated to keeping our team healthy.</p>
<ul><li>Student loan repayment program</li>
<li>$500 individual and $1,000 family deductibles</li>
<li>Low premiums</li>
<li>A dedicated direct primary care medical team for Spooner employees</li>
<li>Dental, vision, life, and other voluntary insurances</li>
<li>Paid time off and holiday pay</li>
<li>401(k) matching</li>
<li>Employee Assistance Program</li>
<li>Many other benefits to help keep you happy and healthy</li>
</ul><h5 class="jobSectionHeader"><b>Qualifications</b></h5>
<p>As a vital part of our Full Revenue Cycle Billing Team, you'll serve as the communication and coordination hub between injured workers, employers, case managers, providers, insurance carriers, and clinic teams. Your work will directly support timely care, accurate billing, and exceptional patient experiences throughout the workers' compensation journey.</p>
<p>In this role, you will:</p>
<ul><li>Coordinate communication between patients, adjusters, nurse case managers, providers, employers, clearinghouses, and payers regarding eligibility, authorizations, treatment approvals, claims status, and denials.</li>
<li>Verify workers' compensation coverage, medical benefits, claim details, and authorization requirements.</li>
<li>Manage inbound calls with professionalism, urgency, and exceptional customer service.</li>
<li>Obtain prior authorizations when necessary for evaluations, and therapy services based on a treatment plan.</li>
<li>Perform ongoing re-verification of benefits and claim eligibility for active workers' compensation cases.</li>
<li>Run and analyze billing reports to proactively identify issues.</li>
<li>Process charge entry, coding review, and claims submissions with a strong focus on accuracy and regulatory compliance.</li>
<li>Investigate and resolve billing edits, rejected claims, and denied services while ensuring documentation supports all billed procedures.</li>
<li>Review patient accounts and insurance correspondence, including Explanation of Benefits (EOBs), to determine next-step resolution strategies and appeal opportunities.</li>
<li>Collaborate directly with insurance carriers, third-party administrators (TPAs), and workers' compensation adjusters to monitor claim status and accelerate payment resolution.</li>
<li>Prepare detailed appeal documentation and build strong rebuttals for denied or underpaid claims.</li>
<li>Analyze denial trends and produce reporting that identifies key areas of concern by payer, volume, and financial impact.</li>
<li>Resolve assigned billing and account tasks promptly while contributing to a high-performing, patient-focused team environment.</li>
<li>Prepare an analytical summary report identifying areas of concern by dollar amount, volume and new denials.</li>
<li>Resolve tasks assigned to you and to billing.</li>
</ul><p>What You Can Expect</p>
<ul><li>A collaborative, culture-driven team environment that values growth, learning, and innovation.</li>
<li>A comprehensive onboarding and training program designed to set you up for long-term success.</li>
<li>Opportunities to expand your expertise in workers' compensation operations, medical billing, insurance authorization, and revenue cycle management.</li>
<li>A fast-paced healthcare environment where your work makes a meaningful impact on patient recovery and outcomes.</li>
</ul><p>What You Bring to the Role</p>
<ul><li>High school diploma or GED required.</li>
<li>2&ndash;3 years of experience in healthcare administration, medical billing, patient access, or revenue cycle operations.</li>
<li>Workers' compensation and/or Medicaid billing experience strongly preferred.</li>
<li>Knowledge of insurance verification, authorizations, claims processing, appeals, and denial management.</li>
<li>Exceptional communication, multitasking, and customer service skills.</li>
<li>Strong attention to detail with the ability to navigate multiple systems and prioritize effectively in a high-volume environment.</li>
<li>Commitment to professionalism, accountability, and patient-centered service.</li>
</ul><p>About Spooner</p>
<p>Spooner is a place for professionals with a growth mindset who want to push themselves to achieve excellence. Spooner began with a vision of disrupting the status quo of healthcare, and to accelerate the use of physical and occupational therapists as primary care, musculoskeletal experts. Spooner continues to grow in the greater-Phoenix area and has recently entered the Dallas-Fort Worth market. If you are interested in joining us on our journey of growth, collaboration, and disruption, you won't be disappointed!</p>
<p>This is not your common workplace. Fun and excellence go hand and hand at Spooner, and we provide ample opportunities to achieve both. Our commitment to continuous learning is evident in our culture-first environment, and we are always looking for team members to strengthen and cultivate it!</p>
<p>We promise to help you achieve excellence. We will help you become a leader. We will help you accelerate your career.</p>
</div><div><h3 class="jobSectionHeader"><b>Government Careers</b></h3>
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<p>Whether you&rsquo;re starting your career or seeking new opportunities, these roles provide pathways for growth, security, and service.</p>
<p>Explore positions across a wide range of fields and take the first step toward a rewarding future in public service.</p>
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<br><div></div><div><div><div><ul><li><h1 class="jobSectionHeader"><b>Full Cycle Biller - Workers' Compensation Specialist</b></h1>
</li><li>Spooner Incorporated
</li><li>Scottsdale, Arizona 85261 United States View Map</li>
</ul><ul><li>Posted: Jul 11, 2026</li>
<li>Location: Scottsdale,Arizona</li>
</ul><ul><li>Full Time</li>
<li>Federal Government</li>
<li>Public Health</li></ul></div></div></div><div></div>

Full Cycle Biller - Workers' Compensation Specialist

Infinx

<div><p>Ni2 Health is actively recruiting a Senior Billing Specialist to join our Billing Team as a Team Lead. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization. The Hospital Billing Team Lead will:</p><ul><li><p>
Lead and oversee the billing operations within the revenue cycle management process</p></li><li><p>
Ensure accurate and timely billing for services rendered</p></li><li><p>
Develop and implement strategies to optimize billing efficiency and revenue capture</p></li><li><p>
Monitor and analyze billing performance metrics and indicators</p></li><li><p>
Provide training, coaching, and mentorship to billing staff</p></li><li>
Other duties as assigned</li></ul><p><b>
About the Role:</b></p><p>
The Hospital Billing Team Lead supports the department in various functions, including leading and overseeing billing operations within the onshore revenue cycle management process. This role is critical in ensuring accurate and compliant billing to realize revenue and drive financial performance. The Billing Team Lead manages billing workflows, resolving issues, optimizing process, analyzing metrics, and providing leadership to the billing team.</p><p><b>
ABOUT NI2 HEALTH, an Infinx Company</b></p><p>
At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.</p><p>
Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach. If you are looking to be mentored as a new graduate, come explore Ni2 Health (www.ni2health.com) and join a team of stars.</p><p><b>
A 2025 Great Place to Work</b><b><i>&reg;</i></b></p><p>
In 2025, Infinx was certified as a Great Place to Work<i>&reg;</i> in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.</p><p><b>
APPLICANT REQUIREMENTS AND SKILLS</b><br>
Applicants must submit a full CV, cover letter and updated resume to be considered.<br>
Position is remote.<br>
Minimum Job Requirements</p><ul><li>
5 years of hospital and physician claims follow-up and denials management</li><li>
1 year of team coordination experience</li><li>
Proficiency with hospital EMRs: Cerner, Epic, McKesson, CPSI, Meditech, etc.</li><li>
Proficiency with various billing systems: Waystar, SSI, Quadax, Availity, etc.</li><li>
Proficiency with Medicare DDE system</li><li>
Proficiency in MS Excel and MS Outlook</li><li>
Excellent written and oral communication skills</li><li>
Excellent organizational, time management, and interpersonal skills</li></ul><p><b>
Compensation Package</b></p><ul><li>
Hourly wage based on experience</li><li>
Full benefits to include 401k with company match, progressive PTO policy with paid holidays</li></ul><p>
</p><p>X355ThJQ8J</p></div>

Hospital Billing Team Lead

Blossom ABA Therapy

<div><p><b>Revenue Cycle Manager</b></p><p></p><p><b>
Job Summary:</b></p><p>
Blossom ABA Therapy, a leading provider of Applied Behavior Analysis (ABA) therapy services, is seeking a highly motivated and experienced <b>Revenue Cycle Manager</b> to join our team in Toms River, New Jersey. As a key member of our operations team, you will play a crucial role in streamlining our revenue cycle processes, ensuring the smooth flow of financial information, and driving business growth. If you have a passion for healthcare administration and a knack for process improvement, we encourage you to apply for this exciting opportunity.</p><p></p><p><b>
About the Role:</b></p><p>
As a <b>Revenue Cycle Manager</b> at Blossom ABA Therapy, you will be responsible for overseeing the entire revenue cycle process, from patient registration to patient billing and insurance reimbursement. You will work closely with our clinical staff, billing team, and administrative personnel to ensure that all financial information is accurate, complete, and compliant with industry regulations. Your expertise will help us optimize our revenue cycle, reduce claims denials, and improve patient satisfaction.</p><p></p><p><b>
Key Responsibilities:</b></p><ul><li><p>
Manage the revenue cycle process from patient registration to patient billing and insurance reimbursement</p></li><li><p>
Develop and maintain efficient processes for data entry, claims submission, and patient payment tracking</p></li><li><p>
Analyze and interpret financial data to identify trends, opportunities for improvement, and areas of concern</p></li><li><p>
Collaborate with clinical staff to ensure accurate and timely coding and billing</p></li><li><p>
Work closely with the billing team to resolve claims denials and identify strategies for improved reimbursement</p></li><li><p>
Develop and implement policies and procedures to ensure compliance with industry regulations and guidelines</p></li><li><p>
Monitor and report on key performance indicators (KPIs) related to revenue cycle performance</p></li><li><p>
Provide training and support to clinical and administrative staff on revenue cycle processes and procedures</p></li></ul><p></p><p><b>
Requirements:</b></p><ul><li><p>
Degree in Healthcare Administration, Business Administration, or a related field</p></li><li><p>
At least 2 years of experience in revenue cycle management or a related field</p></li><li><p>
Strong understanding of healthcare billing and insurance reimbursement regulations</p></li><li><p>
Excellent analytical and problem-solving skills</p></li><li><p>
Ability to work effectively in a fast-paced environment and prioritize multiple tasks and projects</p></li><li><p>
Strong communication and interpersonal skills</p></li><li><p>
Ability to maintain confidentiality and handle sensitive financial information</p></li></ul><p></p><p><b>
What We Offer:</b></p><p><i>
Blossom ABA Therapy</i> is a dynamic and growing organization that is dedicated to providing high-quality ABA therapy services to children with Autism Spectrum Disorder (ASD). Our company slogan, &quot;Nurturing Success With ABA Therapy,&quot; reflects our commitment to empowering our clients and their families to reach their full potential. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our clients and be part of a supportive and inclusive work environment.</p><p></p><p><b>
How to Apply:</b></p><p>
If you are a motivated and experienced professional with a passion for revenue cycle management, we encourage you to apply for this exciting opportunity. Please note that the salary for this position is a salaried position and the benefits package includes <b>Health Benefits and more</b>. To learn more and apply, please visit our website at www.blossomabatherapy.com We look forward to hearing from you!</p></div>

Revenue Cycle Manager

Cambly

<p></p><div><p>Cambly is one of the largest online English language platforms in the world, backed by top-tier investors like Bessemer and Benchmark. We help thousands of people improve their English and partner with hundreds of the world's most prestigious companies to empower their teams with language skills for global success.</p><p>
We're looking for a technical, builder-minded <b>Revenue Operations Specialist/Manager</b> to design and own the systems that power our B2B revenue engine.</p><h2 class="jobSectionHeader"><b><br>
Why Join Cambly?</b></h2><ul><li><p><b>
High-Impact Role:</b> No inherited playbook &mdash; you'll architect sales infrastructure from the ground up and see your work shape the whole revenue team.</p></li><li><p><b>
Career Growth:</b> Direct exposure to sales leadership and the entire GTM stack, with room to grow into an ops leadership role as we scale.</p></li><li><p><b>
Culture:</b> Employee-first, results-focused, no unnecessary stress or nonsense.</p></li></ul><h2 class="jobSectionHeader"><b>
The Role</b></h2><p>
You'll be given a direction, not a spec. You're expected to figure out the &quot;how,&quot; architect systems that haven't existed before, and ship them &mdash; stitching HubSpot, Clay, LinkedIn, call recording/conversation intelligence, and AI into a stack that actually works together.</p><p></p><h2 class="jobSectionHeader"><b>
Responsibilities</b></h2><ul><li><p>
Design and build sales workflows and tooling from scratch, often as the first person to solve a given problem at Cambly</p></li><li><p>
Own HubSpot end-to-end: data model, pipeline stages, automations, reporting, integrations</p></li><li><p>
Build and maintain prospecting/enrichment workflows using Clay, LinkedIn, and similar tools</p></li><li><p>
Implement and optimize call recording/conversation intelligence tools for coaching and pipeline insight</p></li><li><p>
Identify and build AI-enabled workflows across the sales cycle (lead scoring, call summarization, forecasting)</p></li><li><p>
Build dashboards and reporting for real-time pipeline health, rep performance, and forecast accuracy</p></li><li><p>
Diagnose bottlenecks in the sales cycle and design scalable processes, not one-off patches</p></li><li><p>
Partner cross-functionally with Sales, Marketing, and Finance to keep systems and data aligned</p></li></ul><h2 class="jobSectionHeader"><b>
Qualifications</b></h2><p><b>
Must-Haves</b></p><ul><li><p>
6+ years in Sales/Revenue Operations, ideally at a fast-growing B2B SaaS company</p></li><li><p>
Hands-on expertise with HubSpot, Clay, LinkedIn (Sales Navigator), and call recording/conversation intelligence tools</p></li><li><p>
Practical, hands-on experience building with AI tools in a sales workflow</p></li><li><p>
Track record of architecting systems or processes that didn't exist before, from a loose brief</p></li><li><p>
Technical mindset: comfortable with data, integrations, automation logic, troubleshooting your own builds</p></li><li><p>
Proactive, ownership-driven &mdash; defaults to action, iterates in the open</p></li></ul><p><b>
Preferred</b></p><ul><li><p>
Experience scaling a sales ops function at an early or growth-stage startup</p></li><li><p>
Familiarity with SQL, APIs, or no-code/low-code tools (Zapier, Make)</p></li><li><p>
Experience supporting both SDR and AE motions</p></li><li><p>
Prior experience in a remote &amp; distributed team</p></li></ul><p><b>
Skills &amp; Mindset</b></p><ul><li><p>
Builder mentality &mdash; energized by ambiguity, not slowed by it</p></li><li><p>
Strong organizational and project management skills across multiple systems/stakeholders</p></li><li><p>
Clear communicator who can translate technical systems into simple guidance for reps and leadership</p></li><li><p>
Comfortable in a fast-paced, dynamic, remote environment</p></li></ul><h2 class="jobSectionHeader"><b>
What You'll Enjoy (Turkey)</b></h2><ul><li><p>
Competitive salary and professional development budget</p></li><li><p>
Private health insurance</p></li><li><p>
Modern Health access with 6 free coaching + 6 free therapy sessions</p></li><li><p>
Remote work, and paid time off available from your first month.</p></li><li><p>
Dedicated lunch and internet allowances.</p></li><li><p>
Employee-first, growth-focused culture</p></li><li><p>
A truly global team</p></li><li><p>
Free access to Cambly to improve your own language skills</p></li></ul><p><b>
Interested? Applying is simple: just click 'Apply' and upload your CV to get started.</b></p></div>

Revenue Operations Manager - Turkey

General Dynamics Information Technology

<div></div><div><div><div>Clearance Level
<div>None</div>
</div><div></div><div>Category
<div>Science and Research</div>
</div><div></div><div>Location
<div>Remote, Working from the USA</div>
</div><div>
</div></div><div><div>Key Skills For Success
</div><div><p>Clinical Informatics</p>
</div><div><p>Provider Revenue Cycle</p>
</div><div><p>Revenue Cycle</p>
</div><div><p>Revenue Cycle Optimization</p>
</div></div><div></div><div><div><div><div><div><div>
</div></div></div><div><h5 class="jobSectionHeader"><b>REQ#:</b><b> </b><b>RQ215252</b></h5>
<h5 class="jobSectionHeader"><b>Public Trust:</b><b> </b><b>SSBI (T5)</b></h5>
<h5 class="jobSectionHeader"><b>Requisition Type:</b><b> </b><b>Regular</b></h5>
<h5 class="jobSectionHeader"><b>Your Impact</b></h5>
<p>Own your opportunity to work alongside federal civilian agencies. Make an impact by providing services that help the government ensure the well being and support of U.S. citizens.</p>
<h2 class="jobSectionHeader"><b>Job Description</b></h2>
<div><p>GDIT has been supporting the IHS mission for 20+ years; working with the agency to provide integral services to raise health access and availability to 2.6 million American Indians and Alaska Natives. You'll be part of modernizing the EHR platform to enable better data access, patient experience, and quality of care for 567 tribes, 37 states and over 600 medical facilities.</p>
<p></p><p>Our work depends on a <b>Revenue Cycle Informaticist </b>joining our team to support the <b>Indian Health Service (IHS) Electronic Health Records Modernization (EHRM) </b>program. The Revenue Cycle Informaticist serves as the subject matter expert for revenue cycle workflows related to charging, coding, billing, claims management, and revenue integrity within the PATH EHR environment. This role partners with clinical, HIM, finance, and operational stakeholders to optimize downstream revenue cycle processes, support implementation and sustainment activities, troubleshoot workflow issues, and ensure accurate capture and reconciliation of clinical revenue.</p>
<p></p><p><b>HOW A REVENUE CYCLE INFORMATICIST WILL MAKE AN IMPACT:</b></p>
<ul><li><p>The Revenue Cycle Informaticist serves as an expert role model in promoting the understanding, integration, and application of information technology in healthcare settings.</p>
</li><li><p>Represent revenue cycle interests in partnerships with clinical, operational, and IT leadership to translate revenue cycle needs into information system needs.</p>
</li><li><p>Provide workflow analysis and operational support to customer.</p>
</li><li><p>Serve as subject matter expert with field and corporate partners to establish and disseminate best practices for integrated technologies.</p>
 </li><li><p>Identify highest-value opportunities to proposed solutions to clinical workflow and operational barriers, based on data and observation.</p>
</li></ul><p></p><p><b>WHAT YOU&rsquo;LL NEED TO SUCCEED:</b></p>
<ul><li><p>Bachelor&rsquo;s degree or equivalent combination of education and experience.</p>
</li><li><p>8+ years of experience supporting medium to large IT projects.</p>
</li><li><p>Deep experience in back-end revenue cycle operations.</p>
</li><li><p>Knowledge of hospital and ambulatory billing workflows.</p>
</li><li><p>Experience with coding, HIM, and claims management.</p>
</li><li><p>Understanding of revenue cycle impacts from clinical documentation.</p>
</li><li><p>EHR implementation, optimization, or support experience.</p>
</li><li><p>Ability to collaborate across clinical, operational, and financial teams.</p>
</li><li><p>Knowledge of Indian Health Services workflows.</p>
</li><li><p>Extensive knowledge and experience with the Oracle Health electronic health record.</p>
</li><li><p>Ability to travel up to 25% of the year, if needed.</p>
</li></ul><p></p><p><b>SECURITY CLEARANCE LEVEL:</b></p>
 <p></p><ul><li><p>Must be able to obtain a Public Trust Level 5 clearance.</p>
</li></ul><p></p><p><b>GDIT IS YOUR PLACE:</b></p>
<ul><li><p>Full-flex work week to own your priorities at work and at home.</p>
</li><li><p>401K with company match.</p>
</li><li><p>Comprehensive health and wellness packages.</p>
</li><li><p>Internal mobility team dedicated to helping you own your career.</p>
</li><li><p>Professional growth opportunities including paid education and certifications.</p>
</li><li><p>Cutting-edge technology you can learn from.</p>
</li><li><p>Rest and recharge with paid vacation and holidays.</p>
</li></ul><p></p><p><b>#IHSJobs</b></p>
<p><b>#GDITPublicHealthJobs</b></p>
</div></div><div><div><div><h3 class="jobSectionHeader"><b>Work Requirements</b></h3>
</div></div><div></div><div><div>Years of Experience
<p>8 + years of related experience</p>
<ul><li>may vary based on technical training, certification(s), <b><i>or</i></b> degree</li></ul>
</div><div></div><div>Certification
</div><p></p><div>Travel Required
<p>10-25%</p>
</div></div></div></div><div><h3 class="jobSectionHeader"><b>Salary and Benefit Information</b></h3>
<p>The likely salary range for this position is $125,528 - $169,832. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
</p>
<h3 class="jobSectionHeader"><b>Our Identity Verification Process</b></h3>
<p>As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.</p>
<h3 class="jobSectionHeader"><b>About Our Work</b></h3>
<div></div><p>We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.</p>
<p>Join our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc.</p>
<p><i>Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans</i></p></div></div></div></div>

Revenue Cycle Informaticist – Electronic Health Records

Thomas Jefferson University & Jefferson Health

<div><p><b>Job Details
</b></p>Senior Revenue Cycle Optimization Analyst
<p></p><p><b>Job Description
</b></p><p>The Senior Revenue Cycle Optimization Analyst serves as a senior individual contributor responsible for designing and advancing enterprise strategies that improve revenue performance across the Revenue Cycle Continuum. This role focuses on identifying opportunities to enhance net revenue, reduce leakage, and accelerate cash through scalable, data-driven frameworks.</p>
<p>Partnering closely with Revenue Cycle leadership, Finance, IT, and operational teams, the Architect translates complex financial and operational data into actionable strategies and implementation roadmaps. This position combines strategic thought leadership with practical execution planning to drive measurable, sustainable improvement across Jefferson Health.</p>
<p></p><p><b>ESSENTIAL FUNCTIONS
</b></p><ul><li>Execute on the Revenue Cycle Value Creation roadmap, identifying enterprise opportunities to improve yield, reduce leakage, and accelerate cash.</li>
<li>Define future-state workflows and operating models aligned to organizational financial goals and system capabilities.</li>
<li>Leverage Epic and business intelligence tools (Power BI) to identify actionable revenue opportunities.</li>
<li>Support development of predictive and trend-based analytics to inform proactive decision-making.</li>
<li>Lead and support a portfolio of high-value, cross-functional initiatives focused on revenue cycle improvement.</li>
<li>Provide structured guidance to project teams; influence direction without direct reporting authority.</li>
<li>Serve as a trusted advisor to Revenue Cycle, Finance, and executive leadership on complex revenue cycle challenges.</li>
<li>Facilitate executive-level discussions, working sessions, and decision-making forums.</li>
<li>Support development of data definitions, reporting standards, and performance metrics to ensure transparency and consistency across the enterprise.</li>
<li>Bridge operational workflows and system capabilities to ensure alignment between design and measurable outcomes.</li>
</ul><p></p><p><b>ADDITIONAL RESPONSIBILITIES
</b></p><ul><li>Emerging Technology Enablement: Evaluate and support adoption of advanced analytics and automation tools (including AI where appropriate) to enhance revenue cycle performance.</li>
<li>Industry Benchmarking: Monitor external benchmarks (e.g., HFMA) to inform internal targets and identify leading practices.</li>
</ul><p></p><p><b>QUALIFICATIONS
</b></p><p></p><p><b>Education - Required
</b></p><ul><li>Bachelor&rsquo;s Degree in Business, Healthcare Administration, Finance, Health Informatics or related field.</li>
</ul><p></p><p><b>Education - Preferred
</b></p><ul><li>Master&rsquo;s Degree MBA, MHA or MS in related field.</li>
</ul><p></p><p><b>Experience - Required
</b></p><ul><li>10 years' experience in revenue cycle, finance, healthcare consulting or performance improvement within a complex health system.</li>
</ul><p></p><p><b>Knowledge, Skills and Abilities - Required
</b></p><ul><li>Demonstrated success identifying and implementing revenue cycle improvements with measurable financial impact</li>
<li>Experience working across operations, finance, and IT in matrixed environments</li>
<li>Extensive revenue management knowledge and experience. Requires a breadth and mastery of technical and business knowledge in multiple disciplines/processes</li>
<li>Extensive knowledge of and experience in project plan development, workflow analysis, and managing complex process improvement/change management projects. Ability to drive change and positive results and respond to difficult situations with ease.</li>
<li>Advanced proficiency with Microsoft product suite (MS Word, Excel, Power Point, Access and Visio) and standard project management software (i.e., spreadsheets, databases, graphics, presentation tools, etc.).</li>
<li>Ability to manage multiple large multi-functional/interdisciplinary and highly visible projects having a system-wide scope of responsibility and impact.</li>
<li>Strong attention to detail and organizational skills. Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments.</li>
<li>Excellent stakeholder engagement, cross functional collaboration, and change management skills.</li>
<li>Ability to influence results, garner support and tactfully manage complex relationships across the Jefferson Health facilities.</li>
<li>Demonstrates superior oral and written communication skills.</li>
<li>Considerable knowledge and experience supporting and developing reporting and analytics for research, process improvement/change management support and specific revenue management function. Ability to develop appropriate methods to collect, analyze and report data.</li>
<li>Must possess deep analytical, quantitative, evaluative and problem-solving skills.</li>
</ul><p></p><p><b>Work Shift
</b></p>Workday Day (United States of America)
<p></p><p><b>Worker Sub Type
</b></p>Regular
<p></p><p><b>Employee Entity
</b></p>Thomas Jefferson University
<p><b>Primary Location Address
</b></p>1101 Market, Philadelphia, Pennsylvania, United States of America
<p></p><p>Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
</p><p></p><p>Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
</p><p></p><p><b>Benefits
</b></p><p>Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&amp;D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.</p></div><p></p>

Senior Revenue Cycle Optimization Analyst”

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