revenue cycle management specialist

OAKPOINT

<div>Under general supervision, this Revenue Cycle Management (RCM) Specialist supports RCM processes including, but not limited to, insurance benefit verification, dental insurance carrier/plan maintenance, dental claims billing and collections tasks assigned to the revenue cycle department for a multi-site oral surgery group in the Raleigh/Durham area of North Carolina. Services of this position may impact the short-term direction, operations and/or financial status of various dental offices. Decisions made have an impact on compliance, resources, and provider service.
Location: Holly Springs/Raleigh, NC area. 
RCM Claims Specialist Responsibilities:<ul><li>
Responsible for assigned projects and processes for an office or office group at a time, including but not limited to insurance verification, claims submission, claims statusing, payment posting, patient accounts receivables, patient billing inquiries, denials and appeals management and or other RCM tasks, as designated.</li><li>
Reinforce RCM processes, policies, and compliance items that are in place by working with the Operations, Front office and RCM teams.</li><li>
Support Revenue Cycle process and communicate, educate, and collaborate with practice managers.</li><li>
Maintain up-to-date knowledge of billing, coding, and productivity auditing</li><li>
Maintain knowledge of payer processing and payer policies, Medicaid, and Dental Payers, sometimes medical payers.</li><li>
Report trending data with supporting evidence and identify areas of RCM opportunities.</li><li>
Meet established production and quality standards as set by RCM Director, Operations Leaders, or practice managers.</li><li>
Celebrate personal and team improvements, progress, and success with fellow staff members</li><li>
Performs special projects and other duties as assigned.</li></ul>
Revenue Cycle Management Specialist Preferences and Requirements:<ul><li>
Bachelor's degree in finance, business administration, healthcare administration, or related field or minimum 3-5 years&rsquo; experience in a healthcare revenue cycle position.</li><li>
Oral surgery billing experience, preferred.</li><li>
Strong knowledge of computer skills, Outlook, Word, Excel (pivot tables), and database software skills</li><li>
Medical billing knowledge, preferred.</li><li>
Possess the ability to work in a constantly changing and fast-paced environment, good judgment skills, and capable of making decisions with attention to detail.</li><li>
Must have excellent time management and organizational skills, and ability to prioritize and coordinate workload with high proficiency and accuracy.</li><li>
Must have excellent analytical and problem-solving skills.</li><li>
Maintains strict confidentiality of patient&rsquo;s medical records and adherence to all HIPAA, OSHA, and cybersecurity policies and regulation</li><li>
Have strong oral, written, and interpersonal communication skills</li><li>
Ability to read, understand, and apply state/federal laws, regulations, and policies.</li><li>
Ability to adapt to and train on multiple PMS systems, including DSN.</li><li>
Ability to communicate with diverse personalities discreetly, maturely, and professionally.</li><li>
Ability to work easily and cooperatively with other departments.</li><li>
Ability to work independently and follow through on tasks without direct supervision.</li><li>
Ability to work well under pressure in a flexible, diplomatic, and expeditious manner.</li><li>
Ability to work with all levels of teams, from Entry-level to Sr. Leadership</li></ul></div>

RCM Dental Specialist

Top Line Resource Group (TLRG)

Location: DHA Phase 8, Lahore [Onsite]Employment Type: Full-timeWork Timing: 05PM &ndash; 02AM Pakistan TimeJob OverviewTopline Resource Group (TLRG) is seeking a highly experienced and results-driven Revenue Cycle Management (RCM) Specialist to oversee operations for multiple healthcare clients across different states.The ideal candidate will have extensive experience managing the end-to-end medical billing revenue cycle, including insurance verification, coding review, claims submission, payment posting, accounts receivable follow-ups, and denial management.Key ResponsibilitiesOversee and manage end-to-end Revenue Cycle Management operations for multiple healthcare provider clients.Supervise and support internal RCM teams handling:<ul><li>Insurance Verification (VOBs)</li><li>Prior Authorizations</li><li>Medical Coding Review</li><li>Charge Entry</li><li>Claims Submission</li><li>Payment Posting</li><li>Accounts Receivable (AR) Follow-ups</li><li>Denial Management</li></ul>Monitor claim lifecycle performance, ensuring accurate and timely claim submissions and reimbursements.Analyze EOBs, ERAs, and payer remittance reports to identify trends in denials, underpayments, and claim rejections.Communicate directly with US insurance payers and client representatives to resolve complex billing issues.Ensure compliance with payer policies, CMS regulations, and HIPAA guidelines.Develop and implement process improvements to increase collection rates and reduce AR aging.Track and manage KPIs including AR aging, denial rate, clean claim rate, and reimbursement turnaround time.Provide training, mentorship, and performance management for RCM staff.Coordinate with internal departments including coding, billing, compliance, and client services to ensure seamless revenue cycle operations.Maintain accurate documentation and reporting for client performance metrics and operational updates.Required Qualifications<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, or a related field preferred.</li><li>5+ years of experience in Medical Billing and Revenue Cycle Management.</li><li>Minimum 2 years of experience in a supervisory or team lead role within an RCM environment.</li><li>Strong knowledge of the complete medical billing lifecycle.</li></ul>Expert-level familiarity with:<ul><li>CPT Codes</li><li>ICD-10 Codes</li><li>HCPCS Codes</li><li>Claim submission workflows</li><li>Denial management processes</li></ul>Experience working with multiple payers including Medicare, Medicaid, and Commercial insurance plans.Hands-on experience with EHR/EMR and Practice Management systems.Strong analytical and problem-solving abilities for resolving complex claim and reimbursement issues.Excellent verbal and written English communication skills for interacting with US clients and payers.Ability to manage high-volume workloads while maintaining accuracy and compliance.Preferred SkillsPrior experience managing multiple US healthcare provider accounts across different states.Experience working in US healthcare BPO or medical outsourcing environments.Familiarity with payer-specific billing guidelines and state-based insurance requirements.Strong leadership skills with the ability to build and manage high-performing RCM teams.Experience with performance reporting, operational dashboards, and AR analytics.Knowledge of HIPAA compliance, CMS regulations, and payer audit requirements.Application Question(s):<ul><li>We are looking to hire immediately, are you available to join immediately?</li></ul>Experience:<ul><li>RCM: 4 years (Required)</li></ul>Work Location: In person

Revenue Cycle Management (RCM) Manager

MyOme

<div>
 MyOme&rsquo;s mission is to provide clinically actionable genetic information to patients throughout their lives. We combine clinical-grade whole genome sequencing, advanced AI methods for genome interpretation, and seamless digital tools for doctors and patients to order and access results. Our team is composed of seasoned entrepreneurs, scientists, and operators, and we're backed by top-tier investors.
 
 
 
 Position Overview:
 
 
 
 We are looking for a Billing Specialist to join our Customer Support pod at a pivotal moment in MyOme's growth. You won't be stepping into a fully built billing function &mdash; you'll be shaping it. As the single point of contact for all things billing, you'll own full-cycle revenue cycle management end-to-end, work directly with patients, providers, and internal teams, and build the systems and documentation that prevent issues before they escalate.
 
 
 If you're energized by building playbooks, not following them &mdash; and you want your billing expertise to matter at a company where it will directly impact patient outcomes &mdash; this is the role.
 
 
 
 What You'll Do:Patient-facing billing support:
 
 
 
 
 
 <ul>
 <li>
 Primary point of contact for all patient billing inquiries &mdash; first inquiry to final resolution via phone calls and tickets
 </li>
 <li>
 Educate patients on cost transparency, EOBs, insurance benefits, and financial assistance options in plain, accessible language
 </li>
 <li>
 Handle billing escalations with empathy and urgency
 
 
 </li>
 </ul>
 
 Provider &amp; partner billing support:
 
 
 
 
 
 <ul>
 <li>
 Respond to provider and partner billing questions accurately and promptly
 </li>
 <li>
 Clarify CPT codes, reimbursement policies, and prior authorization requirements
 </li>
 <li>
 Communicate billing updates and policy changes to relevant contacts
 
 
 </li>
 </ul>
 
 Revenue cycle &amp; cross-functional operations:
 
 
 
 
 
 <ul>
 <li>
 Own full-cycle RCM &mdash; claims submission, payment posting, denial management, appeals tracking, and resolution
 </li>
 <li>
 Partner with finance and commercial operations to align billing workflows with organizational goals
 </li>
 <li>
 Identify denial trends and implement SOPs to reduce errors and increase resolution rates
 </li>
 <li>
 Manage escalations between patients, payors, and internal departments
 </li>
 <li>
 Contribute to billing ticket metrics and dashboard reporting
 </li>
 <li>
 Proactively surface ambiguous billing ownership issues before they become blockers
 
 
 </li>
 </ul>
 
 Systems &amp; documentation:
 
 
 
 
 
 <ul>
 <li>
 Own the billing SOP library &mdash; build it, maintain it, and improve it as the company scales
 </li>
 <li>
 Leverage HubSpot and clearinghouse/claims platforms to document interactions and track trends
 </li>
 <li>
 Contribute to AI-assisted deflection workflows for tier-1 billing FAQs
 </li>
 <li>
 Maintain HIPAA compliance; HIPAA/PHI training must be completed within the first 30 days
 
 
 </li>
 </ul>
 
 What You'll Ne
 
 
 ed:
 
 
 
 <ul>
 <li>
 3&ndash;6 years of medical billing and RCM experience &mdash; genomics, clinical laboratory, or precision medicine a significant advantage
 </li>
 <li>
 Deep knowledge of full-cycle RCM: EOBs, CPT/ICD-10 coding, denial management, appeals, prior authorizations, and payer processes
 </li>
 <li>
 Experience working cross-functionally with finance, operations, or clinical teams
 </li>
 <li>
 Familiarity with billing and clearinghouse platforms; HubSpot or equivalent CRM preferred
 </li>
 <li>
 Strong communicator &mdash; equally comfortable explaining a bill to an anxious patient and presenting billing trends to leadership
 </li>
 <li>
 Systems thinker who builds SOPs as a habit, not an exception
 </li>
 <li>
 Comfortable with AI tools and automation &mdash; you see them as a force multiplier, not a threat
 </li>
 <li>
 HIPAA certified or willing to complete certification immediately upon hire
 </li>
 <li>
 Startup or early-stage experience preferred &mdash; you're comfortable building the playbook, not following one
 
 
 </li>
 </ul>
 
 Location, Compensation, and Benefits:
 
 
 
 <ul>
 <li>
 
 Location:
 
 Remote in the US
 </li>
 <li>
 
 Compensation:
 
 Annual base salary range is $70,000 - $90,000, depending on experience and location
 
 
 </li>
 </ul>
 San Francisco Bay Area pay range: $70,000 USD - $90,000 USD
 
 
 
 Benefits:
 
 
 
 <ul>
 <li>
 Comprehensive healthcare coverage (Health, Dental, and Vision)
 </li>
 <li>
 401K
 </li>
 <li>
 Unlimited PTO
 </li>
 <li>
 Professional development opportunities
 </li>
 <li>
 Company-sponsored off-sites and team meals during in-person meetings
 </li>
 <li>
 Direct access to company leadership and the opportunity for career growth
 
 
 </li>
 </ul>
 
 Diversity, Inclusion, and Equal Opportunity:
 
 
 
 MyOme values diversity in all forms. We believe that diverse perspectives drive better science and better patient outcomes. We are an Equal Opportunity Employer committed to creating an inclusive workplace that empowers every individual.
 
 
 
 Why Work at MyOme?
 
 
 
 
 Join us if you:
 
 
 
 <ul>
 <li>
 Want to make an impact at the intersection of healthcare and technology, changing the way people engage with their health at the genetic level
 </li>
 <li>
 Enjoy rolling up your sleeves, taking initiative, and being empowered to lead
 </li>
 <li>
 Value humility, transparency, and collaborative problem-solving
 </li>
 <li>
 Thrive in fast-moving, dynamic environments with smart, driven teammates
 </li>
 <li>
 Appreciate competitive compensation, meaningful equity, and excellent benefits
 
 
 </li>
 </ul>
 Learn More: myome.com
</div>

Billing Specialist

CrecenTech

CrecenTech Systems Private Limited is hiring a Senior Business Development Specialist &ndash; Medical Billing to support business growth within the international healthcare and Revenue Cycle Management (RCM) services market. This role focuses on developing new business opportunities and building long-term relationships with healthcare organizations.Key Responsibilities<ul><li>Identify and develop new business opportunities for Medical Billing and RCM services</li><li>Conduct outbound prospecting through calls, emails, and professional networking platforms</li><li>Engage with healthcare providers to understand billing and revenue cycle requirements</li><li>Present service solutions related to Medical Billing, Coding, Accounts Receivable, and Denial Management</li><li>Support proposal preparation, pricing discussions, and contract closure</li><li>Maintain accurate sales pipelines and activity records using CRM tools</li><li>Coordinate with internal teams to ensure smooth client onboarding and service delivery</li><li>Work toward assigned monthly and quarterly business objectives</li><li>Stay updated on healthcare industry practices and compliance standards</li></ul>Required Qualifications<ul><li>Bachelor&rsquo;s degree in Business, Marketing, Healthcare Management, or a related field</li><li>3+ years of experience in business development or sales (experience in medical billing services is a plus)</li><li>Understanding of medical billing and revenue cycle workflows</li><li>Strong professional communication and relationship-building skills</li><li>Experience using CRM or sales management tools</li><li>Ability to work with international clients and flexible schedules</li></ul>Preferred Qualifications<ul><li>Experience selling Medical Billing, Coding, or RCM-related services</li><li>Familiarity with professional networking and lead generation tools</li><li>Prior exposure to healthcare service environments</li></ul>Benefits:<ul><li>At least two bonuses per year (Eid Bonus)</li><li>Commission Offered</li><li>Performance-Based Bonuses</li><li>Maternity/Paternity Allowance</li><li>Maternity Leaves</li><li>Wedding Allowance</li><li>Annual Leaves Encashment</li><li>Double salary on Gazetted Holidays</li><li>Special Allowance for Emergency</li><li>12 Casual Leaves</li><li>10 Medical Leaves</li><li>10 Annual Leaves</li><li>Dedicated Training</li><li>Birthday celebrations</li><li>Gaming Facility</li><li>Growing &amp; Dynamic Team</li><li>Office Gatherings, Celebrations, and Trips</li><li>5 days a week (work-life balance)</li></ul>Job Location: Link Road Model Town, Lahore Job Timings: 6 PM to 3 AM (5 days a week)Job Type: Full-timeApplication Question(s):<ul><li>How many years of experience do you have in business development or sales?</li><li>Are you comfortable conducting outbound prospecting through calls, emails, and professional networking platforms?</li><li>Are you comfortable working in night Shift?</li><li>What are your expected salary?</li></ul>Experience:<ul><li>Medical Billing: 3 years (Required)</li></ul>Language:<ul><li>English (Required)</li></ul>Location:<ul><li>Lahore Model Town (Required)</li></ul>Work Location: In person

BD Specialist – Medical Billing

OSIS

<div>
 
 Job Description
 
 
 
 OSIS is seeking a detail‑oriented Medical Billing Specialist (Tech I) with a strong focus on payment posting to support our Revenue Cycle Management (RCM) team. In this role, you'll help ensure accurate and timely revenue collection for Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs) across multiple states&mdash;all while providing exceptional service to our member organizations.
 
 
 
 
 This fully remote position is ideal for someone who is skilled in medical billing, enjoys working with data and payer information, and thrives in a goal‑oriented environment.
 
 
 
 
 
 What You&rsquo;ll Do
 
 
 
 In this role, you will:
 
 
 <ul>
 <li>
 Focus heavily on payment posting while also executing a variety of medical billing and revenue cycle workflows.
 </li>
 <li>
 Process daily/weekly/monthly billing tasks to ensure optimal and accurate revenue collection.
 </li>
 <li>
 Work with charges, transactions, AR management, patient and payer calls, and online payer portals.
 </li>
 <li>
 Review and research federal, state, and payer billing requirements.
 </li>
 <li>
 Collaborate with internal teams to support our member organizations and deliver high‑quality service.
 </li>
 <li>
 Participate in training and maintain up‑to‑date knowledge of coding, billing rules, and healthcare regulations.
 </li>
 <li>
 Use NextGen PM to support accurate billing and documentation processes.
 </li>
 <li>
 Contribute to workflow analysis and best‑practice recommendations.
 </li>
 <li>
 Meet attainable performance goals in accuracy, productivity, and turnaround times.
 
 
 </li>
 </ul>
 
 Required
 
 
 
 
 What You Bring:
 
 
 
 <ul>
 <li>
 1+ years of medical billing experience
 </li>
 <li>
 Experience with clearinghouses and payer/healthcare portals
 </li>
 <li>
 Knowledge of ICD‑10 and CPT coding
 </li>
 <li>
 Strong communication and customer service skills
 
 
 </li>
 </ul>
 
 Preferred (nice To Have)
 
 
 
 <ul>
 <li>
 Experience with:
 </li>
 <ul>
 <li>
 FQHC billing
 </li>
 <li>
 Dental or Behavioral Health billing
 </li>
 <li>
 NextGen EPM, EDR, or Optical
 </li>
 </ul>
 <li>
 MS Excel proficiency
 
 </li>
 </ul>
 
 Work Environment &amp; Schedule
 
 
 
 <ul>
 <li>
 Remote position with full telecommuting privileges
 </li>
 <li>
 Standard schedule: Monday&ndash;Friday, 8:00 a.m. &ndash; 5:00 p.m. ET
 </li>
 <li>
 Minimal travel (5&ndash;10 days per year)
 
 
 </li>
 </ul>
 
 Technical Requirements
 
 
 
 Must have:
 
 
 <ul>
 <li>
 Cable or Fiber internet
 </li>
 <li>
 Minimum 20 Mbps download / 5 Mbps upload speeds
 
 
 </li>
 </ul>
 If you're passionate about medical billing and want to join a collaborative team supporting community health organizations nationwide, we&rsquo;d love to hear from you!
 
 
 
 Compensation Range
 
 
 
 $17.50 - $25.72
</div>

Medical Billing - Payment Poster

Arazi investments

We&rsquo;re Hiring | Join the Fast-Growing Team at Mindlox.ai!<ul><li>Position: Female RCM Specialist</li><li>Location: On-site &ndash; 6th Road, D Block</li><li>Company: Mindlox.ai (Medical Billing Company)</li></ul>Are you a driven, detail-oriented RCM professional ready to take your career to the next level?Mindlox.ai is expanding rapidly, and we&rsquo;re looking for a confident, results-focused individual to join our dynamic team!What We&rsquo;re Looking For:<ul><li>Strong communication &amp; interpersonal skills</li><li>1-2 years of experience in Revenue Cycle Management (RCM)</li><li>Professional mindset with excellent work ethics</li><li>Ability to work independently &amp; manage responsibilities efficiently</li></ul>Apply Now: DM your updated resume or Know someone perfect for this role? Tag them or share this post!Pay: Rs80,000.00 - Rs100,000.00 per monthWork Location: In person

Female RCM Specialist

Curana Health

<div>:
<div>
At Curana Health, we&rsquo;re on a mission to radically improve the health, happiness, and dignity of older adults&mdash;and we&rsquo;re looking for passionate people to help us do it.</div><div></div><div> 
As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.</div><div></div><div> 
Founded in 2021, we&rsquo;ve grown quickly&mdash;now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.</div><div></div><div> 
If you&rsquo;re looking to make a meaningful impact on the senior healthcare landscape, you&rsquo;re in the right place&mdash;and we look forward to working with you.</div><div></div><div> 
For more information about our company, visit CuranaHealth.com.</div>
Summary:

We are seeking a detail-oriented and proactive medical billing specialist to support our Revenue Cycle Management team. In this role, you&rsquo;ll play a vital part in ensuring accurate and timely billing and collections processes for our services across a range of payers. This is a great opportunity to join a growing, mission-driven organization making a meaningful difference in senior healthcare.
Essential Duties &amp; Responsibilities:
<ul><li>
Manage accounts receivable (A/R) and follow up with governmental and commercial payers in a timely and professional manner</li><li>
File secondary insurance claims electronically</li><li>
Investigate and appeal denied claims</li><li>
Audit patient accounts to ensure accuracy and completeness</li><li>
Address patient inquiries regarding claims and account balances</li><li>
Update and verify insurance information and patient demographics</li><li>
Meet departmental productivity and quality standards</li><li>
Perform other duties as assigned by supervisor or management</li></ul>
Qualifications:
<ul><li>
High school diploma or equivalent</li><li>
Minimum of 3 years of experience in medical billing or revenue cycle operations</li><li>
Proficiency in Microsoft Outlook, Excel, and Word</li><li>
Working knowledge of healthcare billing practices and claim workflows</li></ul><div></div><div> 
We&rsquo;re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine&rsquo;s prestigious Inc. 5000 list. Curana also ranked 16th in the &ldquo;Healthcare &amp; Medical&rdquo; industry category and 21st in Texas.</div><div></div><div> 
This recognition underscores Curana Health&rsquo;s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.</div></div><div></div>

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10000 revenue cycle management specialist jobs Near Me

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