revenue cycle specialist

Hillcrest HealthCare System

<div>Overview:
<div>
Join our team as a day shift, full-time, Revenue Cycle Analyst in Tulsa, OK.</div><div></div><div><b><br>
Why Join Us?</b></div><div></div><div><b><br>
Thrive in a People-First Environment and Make Healthcare Better</b></div><div></div><ul><li><i><br>
Thrive:</i><i> </i>We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.</li><li><i>
People-First:</i><i> </i>We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.</li><li><i>
Make Healthcare Better:</i><i> </i>We use advanced technology to support our team and enhance patient care.</li></ul><div></div><p><b><br>
Get to Know Your Team:</b></p><ul><li>
Hillcrest Hospital South, a full-service 180-bed facility located in south Tulsa, offers a comprehensive range of inpatient and outpatient services utilizing cutting-edge technology in a welcoming community environment. As the only DNV Orthopedic Center of Excellence (OCE) in Oklahoma, Hillcrest South stands out for its exceptional orthopedic care. The hospital&rsquo;s RN residency program is accredited by the American Nurses Credentialing Center (ANCC) as a Practice Transition Accreditation Program and Pathway to Excellence, ensuring high-quality training for nurses.
</li></ul>Responsibilities:
<ul><li>The Revenue Cycle Analyst is responsible for the oversight of daily charge capture and reconciliation processes as well as the maintenance of the chargemaster.
</li><li>Incumbent will assist in the monitoring and analysis of clincical trials, new procedures and bundle payment agreements to ensure proposed financial position is met and maintained.
</li><li>They must oversee all areas of Revenue Cycle to ensure accurate and compliant charge items, recognize and resolve billing inconsistencies, analyze contents of reports and software edits to facilitate appropriate revisions, as well as review reports and nurses notes to determine appropriate charges and complete necessary follow up.
</li><li>Specialist will work with the business office to identify denials, overpayments, underpayments and others as necessary to provide analysis and insight.
</li><li>The incumbent must possess strong critical thinking skills and clinical knowledge of procedures in order to effectively achieve the position specific functions.
</li><li>They also must adhere to policies, procedures and regulations to ensure compliance and patient safety.</li></ul>
Qualifications:
<div>
Job Requirements:</div><ul><li>
Previous Charge capture experience preferred, medical terminology required</li></ul><div>
Preferred Job Requirements:</div><ul><li>
Bachelors degree preferred</li></ul></div>

Revenue Cycle Analyst

Traditional Home and Health Care

<p><b>Overview</b><br/>We are seeking a dynamic and detail-oriented Payment Specialist to join our finance team. In this vital role, you will manage the end-to-end payment processes, ensuring accuracy, compliance, and timeliness across various financial transactions. Your expertise will support our revenue cycle management and help maintain strong relationships with clients and vendors. If you thrive in a fast-paced environment and possess a passion for financial accuracy, this opportunity is perfect for you to make an impactful contribution.</p><p><b>Responsibilities</b></p><ul><li>Process accounts receivable and accounts payable transactions with precision using accounting software such as QuickBooks, Sage, or PeopleSoft.</li><li>Reconcile accounts and perform account analysis to ensure data integrity and compliance with GAAP (Generally Accepted Accounting Principles).</li><li>Manage medical billing and collections, including CPT coding, ICD-10 coding, and medical terminology to facilitate accurate revenue cycle management.</li><li>Conduct data entry tasks with high accuracy, including journal entries, double entry bookkeeping, and 10 key typing.</li><li>Assist in financial analysis, including credit analysis, revenue recognition, and governmental or non-profit accounting procedures.</li><li>Support internal controls by adhering to SOX (Sarbanes-Oxley Act) compliance requirements during financial processes.</li><li>Provide excellent customer service by addressing inquiries related to payments, billing issues, or account discrepancies via phone or email with professional phone etiquette.</li></ul><p><b>Requirements</b></p><ul><li>Proven experience in accounting roles with a focus on accounts receivable/payable, reconciliation, or financial analysis.</li><li>Strong knowledge of accounting software such as QuickBooks, Sage, PeopleSoft, or similar platforms.</li><li>Familiarity with medical collection procedures, CPT coding, ICD-10 coding, and medical terminology is highly desirable.</li><li>Understanding of GAAP principles and SOX compliance standards to ensure accurate financial reporting.</li><li>Excellent data entry skills with proficiency in 10 key typing and double entry bookkeeping techniques.</li><li>Ability to analyze financial data critically and perform detailed account reconciliation tasks.</li><li>Strong interpersonal skills with effective phone etiquette and negotiation abilities for collections or dispute resolution.</li><li>Ability to adapt quickly to new software systems and maintain high attention to detail in a fast-paced environment. Join us as a Payment Specialist to play a crucial role in maintaining our financial health while supporting our commitment to excellence!</li></ul><p>Pay: $23.41 - $38.19 per hour</p><p>Work Location: Remote</p>

Payment Specialist

North Florida Surgeons, P.A.

<div><h1 class="jobSectionHeader"><b>About the Role:</b></h1>
<div>We are seeking a knowledgeable and engaging Revenue Cycle Trainer to join our Revenue Cycle team. This role is responsible for developing and delivering training programs that ensure staff understand revenue cycle processes, compliance standards, and organizational policies.</div>
<h1 class="jobSectionHeader"><b>Key Responsibilities:</b></h1>
<ul><li>Conduct training for new hires and existing staff on billing, coding, claims processing, and reimbursement procedures.</li>
<li>Develop and maintain training materials that meet regulatory and organizational standards.</li>
<li>Monitor training effectiveness and provide ongoing education as needed.</li>
</ul><h1 class="jobSectionHeader"><b>Qualifications:</b></h1>
<ul><li>Associate&rsquo;s or Bachelor&rsquo;s degree in Healthcare Administration or related field preferred.</li>
<li>3+ years of experience in revenue cycle operations or medical billing.</li>
<li>Strong communication and presentation skills; proficiency with Microsoft Office and EHR systems.</li>
<li>Experience with Athena</li>
</ul>
<div></div><h1 class="jobSectionHeader"><b>Why Join Us:</b></h1>
<ul><li>Competitive compensation and benefits</li>
<li>Opportunity to make an impact on operational excellence</li>
<li>Collaborative and supportive work environment</li></ul></div>

Revenue Cycle Trainer

Akron Children's

<div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2>
<b>Job Requisition Number</b> 31897
<div><div><b>Full-time, 40 Hours/Week</b></div><div><b>
Monday - Friday, Day Shift</b></div><div><b>
Remote (First 90 days onsite)</b></div><div></div><div><b><br>
Summary:</b></div><p><br>
The Authorization Specialist is responsible for obtaining prior authorizations and verifying insurance coverage for pediatric patients. This includes therapy, behavioral health, diagnostic procedures, specialist visits, surgeries, injections, infusion therapies, and advanced radiology services (CT, MRI, PET, and Nuclear Medicine). The specialist plays a critical role in ensuring timely access to care, supporting families in navigating the insurance process, and helping minimize financial barriers to treatment.</p><p></p><div><b>
Responsibilities:</b></div><br>
<p></p><ul><li>
Secure prior authorizations for a variety of pediatric services.</li><li>
Verify insurance eligibility and benefits prior to service; ensure benefits and authorizations are clearly documented in the patient record.</li><li>
Gather, verify, and review the necessary clinical documentation from providers, including medical records, progress notes, lab results, treatment plans, and any other require information to ensure requested services meeting payer medical necessity requirements based on CPT codes provided.</li><li>
Coordinate with clinical and scheduling teams to prevent delays in care caused by pending or denied authorizations.</li><li>
Participate in clinical huddles and team meetings to discuss challenges, share best practices, and contribute to process improvement initiatives.</li><li>
Follow-up with payers to obtain timely approvals and resolve issues related to pediatric-specific criteria (e.g., age-based guidelines, developmental appropriateness).</li><li>
Communicate denied authorizations and next steps to initiate the peer to peer or appeal process, track and manage the outcomes, and escalate any issues.</li><li>
Refer families to Financial Counseling when patient responsibility amounts are identified and provide clear guidance to support caregiver understanding.</li><li>
Maintain accurate records of authorization statuses and payer communications in the EHR.</li><li>
Collaborate with care teams, including case management, to expedite authorizations for urgent services when needed.</li><li>
Meet departmental standards for productivity, accuracy, and timeliness.</li></ul><p></p><div><b>
Other information:</b></div><p><b><br>
Technical Expertise</b></p><p></p><ul><li>
Knowledge of medical terminology, CPT/ICD-10 codes, and pediatric insurance benefits.</li><li>
Strong interpersonal communication skills to support families with empathy and clarity.</li><li>
Ability to navigate multiple systems (EHR, payer portals); Epic experience preferred.</li><li>
Understanding of medical necessity and documentation standards for pediatric services.</li></ul><p></p><p><b>
Education and Experience</b></p><ul><li>
Education: High school diploma or equivalent required; associate degree or healthcare certification preferred.</li><li>
Experience: Minimum 1 year in a Clinical, Revenue Cycle, Patient Access or Insurance company role that perform work related to; prior authorization, insurance verification, billing, scheduling, patient service rep, customer service, etc. required.</li><li>
Pediatric healthcare access roles preferred.</li><li>
Working with pediatric patients, families, or within a children's hospital preferred.</li><li>
Familiarity with pediatric insurance policies, including Medicaid, managed care, and commercial plans preferred.</li></ul><p></p><div>
Full Time</div><div></div><div>
FTE: 1.000000</div></div></div><p></p>

Authorization Specialist

BCA Financial Services, Inc.

<div>
 Description:
 <strong>
  REMOTE POSITION - Actively Hiring
  <br/>
  <br/>
  LIFE IS SHORT, DO WORK THAT MAKES A DIFFERENCE
  <br/>
  <br/>
 </strong>
 <strong>
  Summary/Objective
  <br/>
  <br/>
 </strong>
 Work with insurance companies where available for creditor&rsquo;s customers to determine the cause of denial or non-payment of a claim, initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment, follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures. Continuously strive to provide a seamless interface for the consumer between BCA Financial Services, Inc. (BCA) and the creditor client
 <br/>
 <br/>
 BCA Financial Services, Inc. is seeking detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience.
 <br/>
 <br/>
 <strong>
  Benefits We Offer
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Monday through Friday schedule
  </li>
  <li>
   Medical, Dental, Vision, and Voluntary Life insurance
  </li>
  <li>
   401k with a company match
  </li>
  <li>
   Paid time off and paid holidays
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  The Medical Insurance Collector Will
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Work with insurance companies to determine the cause of denial or non-payment of a claim.
  </li>
  <li>
   Initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment of a claim.
  </li>
  <li>
   Follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Essential Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Receive inbound and make outbound calls regarding insurance related matters and maintain clear and concise documentation of all attempts and/or contacts directly on the computerized collection system
  </li>
  <li>
   Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with the goal of resolving obstacles to payment
  </li>
  <li>
   Verify insurance through a variety of mediums such as outbound phone calls and insurance websites to verify benefits
  </li>
  <li>
   Review assigned claims working within the established productivity standards for timely follow-up, maintain and update all accounts to reflect current information
  </li>
  <li>
   Perform appropriate account activity by contacting managed care, governmental and commercial insurance carriers to affect payment on claims
  </li>
  <li>
   Identify payor trends in payment delays and escalates issues to appropriate personnel
  </li>
  <li>
   Answer all inquiries from consumers promptly; attempt to resolve consumer concerns by inquiring as to specific issues and clarifying those issues
  </li>
  <li>
   Use relevant information and individual judgment to determine whether events or processes comply with company and client expectations as well as all relevant local, state and federal regulations
  </li>
  <li>
   Maintain established productivity standards and meet performance standards on a consistent basis
  </li>
  <li>
   Demonstrate a strong working knowledge of, and comply with, the Health Insurance Portability and Accountability Act (HIPAA) and all other statutes, laws and regulations pertinent to the collection industry as well as industries served
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <strong>
  Qualifications:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school diploma or equivalent
  </li>
  <li>
   Minimum of 2 years working in a healthcare revenue cycle environment with a concentration in the areas of insurance billing and collections
  </li>
  <li>
   Advanced knowledge of the healthcare insurance environment to include managed care, governmental and commercial insurance carriers as well as a myriad of reimbursement methodologies specific to provider contracts (fee schedule, per diems, percentage of total charges, etc.)
  </li>
  <li>
   Advanced awareness of the various codes used when filing health insurance claims. This position will not affect coding changes to claims but rather will understand coding requirements and communicate need for amendment of codes to creditor clients
  </li>
  <li>
   Knowledge of medical terminology and basic anatomy
  </li>
  <li>
   Effective interpersonal and human relations skills
  </li>
  <li>
   Effective verbal and written communication skills
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Work From Home Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Have a quiet and private workspace
  </li>
  <li>
   High speed internet with the ability to hardwire via 50 ft. ethernet cable from modem to your PC. Must be a sufficient speed to support video/web/audio and voice-over-IP (VoIP) (at least 20mbs download and 10mbs upload). Wi-Fi and hotspots are not supported.
  </li>
  <li>
   You must meet all the technical requirements prior to the first day of training
  </li>
  <li>
   You must live in one of the following states: FL, GA, MO, NE, NC, SC, TN, TX, or VA.
  </li>
  <li>
   We will provide you with the equipment needed to be successful
   <br/>
   <br/>
  </li>
 </ul>
 <em>
  BCA Financial Services, Inc. is an Equal Opportunity Employer and values diversity at all levels of the organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other legally protected status.
  <br/>
  <br/>
 </em>
 <em>
  Keyword Search: Medi-Cal, Cerner, Soarian, MS4, PBAR, insurance collections, accounts receivable, patient accounts, insurance, revenue cycle, patient financial, insurance verification, insurance follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims, insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative
 </em>
</div>


Remote Insurance Collector

Aspirion

<div>Description:
<p>
For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers&rsquo; compensation, Veterans Affairs, and out-of-state Medicaid.</p><p>
At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, &ldquo;Our teammates are the foundation of our success.&rdquo; United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time.</p><p>
We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.</p><p>
We are seeking an Appeals Specialist II to join our growing team. As an Appeals Specialist II, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems.</p><p><b>
Key Responsibilities</b></p><ul><li>
Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised</li><li>
Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena)</li><li>
Draft appeals to insurance carriers on denied or underpaid claims</li><li>
Review claim detail including coding, billing and insurance information for discrepancies</li><li>
Run claims data through various pricing software</li></ul>
Requirements:
<ul><li>Strong healthcare industry knowledge</li><li>
Ability to troubleshoot and remedy claim submission errors</li><li>
Demonstrated attention to detail</li><li>
Excellent written and verbal communication skills</li><li>
Team-Oriented and Flexible</li><li>
Creative Problem-solving skills</li></ul><p><b>
Education and Experience</b></p><ul><li>
High School Diploma or GED required; bachelor's degree preferred</li><li>
Hospital billing experience required</li><li>
Previous work from home experience</li></ul><p><b>
Benefits</b></p><p>
At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs.</p><p>
The US base pay range for this position <b><i>starts</i></b> at $19.00 hourly.<i> Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered.</i> In addition to base salary, a competitive benefits package is offered.</p><p><b>
AAP/EEO Statement</b></p><p>
Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.</p><p>
Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.</p></div>

Appeals Specialist - Hospital Billing, Underpayments

United Surgical Partners

<div><p><b><i>The Advanced Center for Surgery is hiring a Collections and Billing Specialist</i></b></p>
<p><b><i>
This position is located ON SITE</i></b></p><p><br>
<b>
Welcome to The Advanced Center for Surgery</b></p>
<p>
At Advanced Center for Surgery, we believe health and care are inseparable. The Advanced Center for Surgery in Vero Beach is a busy, multispecialty ambulatory surgery center in Vero Beach, performing outpatient procedures in General Surgery, Orthopedic Surgery, Pain Management, Plastic/Reconstruction, Podiatry, Robotic Total Joints, and Spine.</p>
<p><b><i>
Collections and Billing Specialist at The Advanced Center for Surgery</i></b></p>
<p><b>
Responsibilities:</b></p>
<ul>
<li>Pull any preoperative notes from the designated transcription company.</li>
<li>Extract information from medical records, operative notes, invoices, progress notes and discharge paperwork to ensure completeness and accuracy of charge entry.</li>
<li>Capture implants, high-cost supplies, high-cost drugs, post op pain blocks and observations times prior to charge submission</li>
<li>Review accuracy of invoice details, including customer billing instructions, pricing, discounts, state sales tax, etc.</li>
<li>Execute the recurring billing workflow and generate and transmit claims daily.</li>
<li>Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, POPM form, invoices, or implant pricing etc).</li>
<li>Reconcile revenue and billing during the period-end close process.</li>
<li>Complete accurate charge entry for all assigned cases and upload to designated electronic claims clearinghouse daily.</li>
<li>Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.</li>
<li>Maintain current knowledge of health care billing laws, rules and regulations and developments</li>
</ul><br>
<b>Required Skills:</b><br>
<ul>
<li>MUST be available to work on site</li>
<li>2+ years of ASC revenue cycle or orthopedic charge entry or collections experience.</li>
<li>Ability to read and interpret insurance explanations of benefits and managed care contracts. Must communicate effectively, both verbally and in writing, with internal and external clients.</li>
<li>Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines  Knowledge or experience working with a variety of health care insurance payers is preferred  Intermediate computer proficiency in Microsoft Office including Excel and Outlook</li>
<li>Advantx, Vision, HST, Waystar experience preferred.</li>
<li>High School Diploma or equivalent.</li></ul></div>

Collections and Billing Specialist

Search 10000+ Revenue cycle specialist jobs near you this March. New roles added regularly across leading industries. Apply today.