revenue cycle specialist

Cedars-Sinai Medical Center

<p></p><div><div><div><div><p><b>Job ID</b> 16372</p>
<p><b>Location</b> Los Angeles, California, United States
</p><p><b>Job Category</b> Patient Financial Services
</p><p><b>Date posted</b> 04/11/2026</p></div></div><p></p><div><br>
<div></div>
</div></div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2><p>
Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation&rsquo;s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company&rsquo;s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News &amp; World Report has named us one of America&rsquo;s Best Hospitals.</p><b>
What will you be doing in this role?</b><p>
Under general supervision and following established practices, policies, and guidelines, provides commercial collections support to Patient Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating information on account, etc.. Positions at this level require advanced knowledge in specialized functions and a full understanding of the revenue cycle. Incumbents work independently and have strong customer service, analytic and problem-solving skills, and are able to understand, interpret and explain payor contracts and CSMC billing and collections policy and practices. Incumbents may assist other team members.</p><p>
This position may be cross-trained in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II:</p><ul><li>
Participates in department meetings and provides feedback to management on how to improve department processes. Adheres to instructions, verbal and written, to achieve desired results.</li><li>
Adheres to documentation standards of the department and properly uses activity codes. Correctly enters data in fields. Maintains acceptable levels of speed and accuracy.</li><li>
Effectively monitors assigned work queues and workload, ensuring resolve of accounts in a timely and accurate manner. Takes initiative on issues and/or problems by escalating them to supervisor.</li><li>
Exemplifies high standards of professionalism, responsibility, accountability and ethical behavior.</li><li>
Processes incoming correspondence, based on reason code, timely and accurately.</li><li>
Ensures information on the account is complete and accurate. Adheres to payment timeline protocol.</li><li>
Adheres to payment timeline protocol and assists other team members with resolution of accounts when needed.</li><li>
Demonstrates detailed knowledge of Cedars-Sinai core patient accounting systems and/or department specific systems and uses them effectively and efficiently.</li></ul><h2 class="jobSectionHeader"><b>
Qualifications</b></h2><h2 class="jobSectionHeader"><b>
Requirements:</b></h2><ul><li>
High school diploma or GED required.</li><li>
A minimum of two years of experience in hospital or professional billing and/or collections experience required. Four years&rsquo; experience or more preferred.</li><li>
Ability to read, write, understand and speak effectively in English</li><li>
Experience with Medicare, Medi-Cal and other commercial payors a plus.</li><li>
Hospital revenue cycle experience preferred.</li><li>
Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.</li><li>
Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.</li><li>
Basic understanding of HIPAA and other privacy information guidelines preferred.</li><li>
Ability to perform relevant business math (including addition, subtraction, multiplication and division)</li><li>
Good verbal and written communication skills.</li><li>
Keyboard and data entry proficiency.</li><li>
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.</li><li>
Professional and courteous demeanor.</li></ul><h2 class="jobSectionHeader"><b>
Experience we are seeking:</b></h2><ul><li>
Hospital revenue cycle experience preferred.</li><li>
Basic computer and navigation skills. Experience with MS office, Web/Vs, Emdeon and CS-Link preferred.</li><li>
Working knowledge and understanding of regulatory and CSHS policies and procedures preferred.</li><li>
Basic understanding of HIPAA and other privacy information guidelines preferred.</li><li>
Ability to perform relevant business math (including addition, subtraction, multiplication and division)</li><li>
Good verbal and written communication skills.</li><li>
Keyboard and data entry proficiency.</li><li>
Ability to handle multiple tasks in a fast paced and high-volume environment with conflicting demands on time and attention. Ability to prioritize and organize work to complete assignments in a timely, accurate manner.</li><li>
Professional and courteous demeanor.</li></ul><h2 class="jobSectionHeader"><b>
Why work here?</b></h2><p>
We take pride in hiring the best employees. Our dedicated staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.</p>
</div><div><div><div><b>Req ID</b> 16372</div>
</div><div><div><b>Working Title</b> Revenue Cycle Specialist II</div>
</div><div><div><b>Department</b> CSRC PB - Group 4 Faculty</div>
</div><div><div><b>Business Entity</b> Cedars-Sinai Medical Center</div>
</div><div><div><b>Job Category</b> Patient Financial Services</div>
</div><div><div><b>Job Specialty</b> Patient Billing</div>
</div><p></p><div><div><b>Overtime Status</b> NONEXEMPT</div>
</div><div><div><b>Primary Shift</b> Day</div>
</div><div><div><b>Shift Duration</b> 8 hour</div>
</div><div><div><b>Base Pay</b> $24.00 - $35.23</div></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Diversity and Inclusion at Cedars-Sinai</b></h3>
<div>
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve &ndash; because that&rsquo;s what our patients, colleagues and communities deserve <b>Quality Care and Research&mdash;For All, By All</b>.</div>
</div><div><h3 class="jobSectionHeader"><b>Our compensation philosophy</b></h3>
<div>We offer a competitive compensation package for our employees. The base pay range shown generally applies to the greater Los Angeles area and may vary based on work location. Our range takes into account the wide range of factors that are considered in making compensation decisions, including knowledge/skills: relevant experience and training, education/certifications/licensure; and other business and organizational factors. The base pay range does not include any incentive payments that may be applicable to a role. <b>Pay Transparency Non-Discrimination Provision (PDF) </b>.
</div></div><div><h3 class="jobSectionHeader"><b>Cedars-Sinai is an Equal Employment Opportunity employer.</b></h3>
<p>
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at <b>Applicant_Accommodation@cshs.org</b> and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.</p>
<p>
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.</p>
<p>
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy.</p></div></div><div></div>

Revenue Cycle Specialist II

Reliant Healthcare Group

<div><ul><li><b>This is NOT a remote position</b></li></ul><br>
<p></p>
<p>
Healthcare Billing &ndash; ABA Therapy | Pediatric Therapy | Private Duty Nursing (PDN)</p><br>
<p></p>
<p><b>
Location:</b> Katy, TX</p>
<p><b>
Job Type:</b> Full-Time</p>
<p><b>
Reports To:</b> Revenue Cycle Manager</p><br>
<p></p>
<p><b>
Job Overview</b></p>
<p>
We are seeking an experienced Senior Revenue Cycle Specialist (RCM) to support advanced billing and revenue cycle operations for ABA therapy, pediatric therapy (OT/PT/SLP), and Private Duty Nursing (PDN) services. This is a hands-on, non-supervisory role focused on complex claims, authorizations, denials, and assigned RCM projects.</p><br>
<p></p>
<p><b>
Key Responsibilities</b></p>
<ul>
<li>Execute end-to-end revenue cycle management: eligibility, authorizations, billing, AR follow-up, and collections</li>
<li>Handle complex billing for ABA services, pediatric therapy, and PDN</li>
<li>Submit and track claims with Medicaid, Medicaid MCOs, and commercial insurance</li>
<li>Manage denials, appeals, underpayments, and payer escalations</li>
<li>Monitor authorized units, frequency, and payer compliance</li>
<li>Work assigned accounts receivable (AR) and aging buckets</li>
<li>Support billing audits, payer reviews, and documentation requests</li>
<li>Own assigned RCM projects (workflow optimization, payer setup, EMR clean-up)</li>
<li>Collaborate with intake, scheduling, and clinical teams</li>
<li>Provide reporting and insights to the RCM Manager</li></ul><br>
<p></p>
<p><b>
Required Experience</b></p>
<ul>
<li>4+ years in healthcare revenue cycle, medical billing, or AR</li>
<li>Direct experience with ABA billing, therapy billing, or PDN billing a plus</li>
<li>Strong knowledge of Medicaid, MCOs, and commercial payors</li>
<li>Experience with authorizations, denials management, and appeals</li>
<li>Ability to work independently on complex billing issues</li>
<li>High attention to detail and strong problem-solving skills</li></ul><br>
<p></p>
<p><b>
Preferred Experience</b></p>
<ul>
<li>Multi-clinic or multi-service healthcare experience</li>
<li>ABA authorization and treatment plan billing knowledge</li>
<li>EMR / billing system experience</li>
<li>Bachelor&rsquo;s degree (preferred, not required)</li></ul><br>
<p></p>
<p><b>
What We Offer</b></p>
<ul>
<li>Competitive pay based on experience</li>
<li>Stable, growth-focused healthcare organization</li>
<li>Exposure to multiple service lines (ABA, therapy, PDN)</li>
<li>Professional development and advancement opportunities</li>
<li>Benefits including PTO, health insurance, paid holidays , and 401K</li></ul></div><p></p>

Senior Revenue Cycle Specialist (RCM)

Aligned Dental Partners

<div><p>We are growing and looking to add to our revenue cycle team in beautiful Sarasota!</p><p>
The right candidate for this opportunity will have extensive experience with all facets of Revenue Cycle, dental insurances and dental practice management software (Open Dental required). Must have experience working within the portals and websites of all insurances. Must have experience working all levels of accounts receivables, both patient and insurance, aged and new.</p><ul><li>
Organize and Strategize to Increase Collections</li><li>
Improve Insurance Processing</li><li>
Work with Leadership to Develop, Plan, Organize, and Implement Revenue Cycle Policies and Workflow to Achieve Operational Excellence</li><li>
Maintain confidentiality in Compliance with HIPAA regulations.</li><li>
Follow up on Denied / Rejected Insurance Claims</li><li>
Train Front Office Teams on Required Images, Narratives and Supporting Documentation to Process Claims.</li><li>
Post Insurance Checks</li><li>
Audit Patient Accounts</li><li>
Reduce adjustments and Bad Debt</li><li>
Process Patient Refunds</li><li>
Oversee Resolution of Contract Payment Issues and Assisting in Collection Efforts.</li><li>
Liaison with and Support to the Dental Offices on Insurance Posting, Insurance Verifications, EOB Training, etc.</li><li>
Assist in External Financial Statement Audits, Insurance Audits/Inquiries, and Internal Compliance Requests.</li><li>
Other Duties as Requested or Assigned</li></ul><p><b>
Required Qualifications:</b></p><ul><li>
4+ years of dental billing a must</li><li>
Minimum of 2 years of AR or revenue cycle experience</li><li>
HS Diploma minimum; prefer advanced education in a related field.</li><li>
Knowledge of Dental Insurance and Terminology and Dental Software Open Dental required.</li><li>
Motivated to CollectResolve Claims</li><li>
Excellent Written and Verbal Communication</li><li>
Excellent Working Knowledge of MS Office, Excel and Proficient Computer Skills in General</li><li>
Extremely Detailed and Organized</li><li>
Must be a Self-starter and a Self-motivator.</li><li>
Ability to Work Independently and Follow Through on Tasks</li><li>
Strong Team Player, Analytical, Critical Thinking and Problem-solving Skills</li><li>
Ability to communicate within all levels of the organization.</li></ul><p><b>
Benefits Include:</b></p><ul><li>
Competitive compensation based on experience.</li><li>
Health insurance</li><li>
401k</li><li>
Paid Holidays and a PTO Program</li></ul><p>
Could be open to remote for the right candidate with occasional travel to Sarasota.</p></div>

Dental Revenue Cycle Specialist

Behavioral Health Solutions, LLC

<div><p>Behavioral Health Solutions (BHS) is a team of mental health professionals specializing in comprehensive behavioral health services, including Skilled Nursing Facilities (SNF), Outpatient services, and Telehealth.</p><p>
As a leading provider in the mental health field, we are seeking skilled professionals who exhibit the highest level of integrity and dedication to improving patient care.</p><p><b>
Position Summary:</b></p><p>
The Revenue Cycle Billing Specialist is responsible for maintaining accounts receivable within the healthcare billing department. This role ensures accurate and timely billing, processes insurance claims, follows up on unpaid accounts, and resolves discrepancies to support the organization&rsquo;s financial health.</p><p>
This is an On-Site role, located at our headquarters in Henderson, NV. Remote candidates will not be considered.</p><p></p><p><b><br>
Key Responsibilities:</b></p><ul><li>
Process and submit insurance claims for payment, including Medicare, Medicaid, HMO, and private payers.</li><li>
Respond to payer inquiries regarding billing and account status in a professional and courteous manner.</li><li>
Monitor and follow up on unpaid claims and outstanding patient balances, ensuring timely resolution.</li><li>
Investigate and resolve denied or disputed claims, including initiating appeals and communicating with payers as needed.</li><li>
Maintain EHR requirements as it relates to billing, custom holds, and worklists.</li><li>
Investigate and resolve denied or disputed claims, including initiating appeals and communicating with payers as needed.</li><li>
Reconcile account discrepancies and maintain accurate billing records.</li><li>
Collaborate with operational and billing teams to address workflow, coding, and payment issues.</li><li>
Track and collect payments, including setting up payment plans for outstanding bills.</li><li>
Stay current with industry trends, payer requirements, and regulatory changes impacting billing and AR.</li><li>
Handle confidential information and abide by HIPAA laws and other medical policies.</li><li>
Ensure compliance with all state, federal, local, and applicable state board requirements, provisions, and laws pertaining to nursing practices.</li><li>
Adhere to all applicable company policies, practices, and procedures to maintain compliance with organizational standards.</li><li>
Adhere to mandatory reporting standards, and company compliance requirements including but not limited to actively participate in investigations, audits, and monitoring activities as required.</li><li>
Performing additional tasks, duties, and assignments as specified by your supervisor.</li></ul><p><b>
Required Skills:</b></p><ul><li>
A clear understanding of the Medical Billing, particularly for mental health services.</li><li>
Familiarity with CPT codes for psychiatric services and ICD-10 codes for mental health diagnoses.</li><li>
Understanding of mental health insurance policies and reimbursement practices.</li><li>
Excellent attention to detail and strong analytical skills.</li><li>
Ability to communicate effectively with healthcare providers, patients, and insurance representatives.</li><li>
Strong organizational skills and the ability to manage multiple tasks simultaneously in a fast-paced environment.</li></ul><p><b>
Qualifications:</b></p><ul><li>
High school diploma or GED; additional education or certification in medical billing/denials management preferred.</li><li>
Minimum of 1-2 years of experience in claims processing, billing, or denial management in a healthcare setting.</li><li>
Proficiency in EHR/EMR systems, including AthenaOne.</li><li>
Strong interpersonal and communication skills, both written and verbal.</li><li>
Ability to maintain confidentiality of sensitive information.</li><li>
Proficiency in Microsoft Office applications such as Outlook, Word, and Excel.</li></ul><p><b>
Job Type:</b></p><ul><li>
Full-time, Monday through Friday</li><li>
In-Office (Henderson, Nevada)</li></ul><p>
Benefits:</p><ul><li>
$20 - $23/hr.</li><li>
Hands-on and virtual training.</li><li>
Work-life balance, including PTO and paid holidays.</li><li>
Comprehensive benefits package (Medical, Dental, Vision, Life, etc.)</li><li>
401k with company match</li></ul></div><p></p>

Revenue Cycle Billing Specialist

Mogel

<h2> </h2><p>MOGEL is partnering with a growing healthcare technology organization in Gilbert to hire Intake Specialists focused on census tracking, insurance verification, and demographic accuracy.</p><p>If you have healthcare intake, billing support, or insurance experience this is a strong opportunity with competitive pay and a structured weekday schedule.</p><p> </p><h3><strong>What You’ll Do</strong></h3><p>• Manage census tracking and intake workflows<br /> • Verify patient insurance and demographics<br /> • Communicate with patients, facilities &amp; payers<br /> • Ensure clean downstream billing<br /> • Meet departmental performance goals</p><p> </p><h3><strong>Schedule</strong></h3><p>Onsite: Monday–Wednesday &amp; Friday<br /> Work-from-home: Thursdays<br /> Consistent 8-hour shift (7 AM – 6 PM start window)</p><h3> </h3><h3><strong>Ideal Background</strong></h3><p>• Healthcare intake, billing support, credentialing, or contracting<br /> • Strong customer service skills<br /> • Detail-oriented and organized<br /> • Comfortable in fast-paced environments</p><p> </p><p>Full benefits: Medical, Dental, Vision, 401k, Disability<br /> Must work onsite in Gilbert, AZ<br /> No visa sponsorship available</p><p> </p><p><strong>Equal Opportunity Employer</strong><br />MOGEL and our clients provide equal employment opportunities for all employees and applicants. Hiring decisions are based on job-related qualifications without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any protected category. We celebrate diversity and are committed to an inclusive workplace.</p>

Revenue Cycle Intake Specialist

Chatham Orthopaedic Associates

<p><b>Overview</b><br/>We are seeking a detail-oriented and highly organized Accounts Receivable Specialist to join our finance team. The successful candidate will strive to improve revenue cycle by proactively reviewing accuracy of entered charges, claims data, educating staff and providers, reviewing payers and repressors and ensuring compliance with all federal and state regulations.</p><p><b>Essential Responsibilities</b></p><p>Generates aged outstanding insurance report/s and works a minimum of 60 claims in the listing and follows up on unpaid claims as needed.</p><p>Reviews denials, no pays and other &ldquo;Explanation of Benefits&rdquo;; coordinates problem accounts with providers and charge posters; educates providers and staff on front end issues to improve revenue cycle.</p><p>Assists awareness of compliance programs as related to coding process.</p><p>Experience</p><p>Must have at least 2-3 years with claims processing and denials.</p><p>Athena experience a plus</p><p>Please go to our website and complete application</p><p>Pay: $18.00 - $27.00 per hour</p><p>Expected hours: 40.0 per week</p><p>Benefits:</p><ul><li>401(k)</li><li>AD&amp;D insurance</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Accounts Receivable Specialist

Helios HVACR Services, LLC

<div><p><b>Position Summary</b><br>
<b>The Billing Specialist </b><b>is responsible for</b><b> the </b><b>accurate</b><b> and </b><b>timely</b><b> processing of invoices while supporting the company's financial performance and operational efficiency. This role requires </b><b>a high level</b><b> of attention to detail, accountability, and the ability to work independently to meet daily production goals, </b><b>maintain</b><b> gross margin targets, and ensure compliance with client-specific invoicing requirements. The Billing Specialist plays a critical role in revenue cycle performance by delivering quality, </b><b>timely</b><b>, and compliant billing outcomes.</b></p><br>
<p></p>
<p><b>
Experience Requirement</b></p>
<ul>
<li><b>Minimum of 5 years of experience in billing, invoicing, or revenue cycle operations, preferably in a high-volume or service-based environment.</b></li>
</ul><ul><li><b>HVAC and/or refrigeration industry experience is a plus, with familiarity in service work orders, labor tracking, and materials billing strongly preferred.</b></li></ul><br>
<p></p>
<p><b>
Key Responsibilities</b></p>
<div>
<ul><li><b>Invoicing Performance &amp; Accuracy</b></li></ul>
</div><ul><li><b>Process a high volume of invoices daily, </b><b>maintaining</b><b> both speed and accuracy.</b></li>
</ul><ul><li><b>Review all invoices prior to posting to ensure completeness and correctness.</b></li>
</ul><ul><li><b>Validate labor hours, materials, and pricing to ensure accuracy and margin compliance.</b></li>
</ul><ul><li><b>Submit invoices to clients within 1 business day, including all required documentation.</b></li>
</ul><ul><li><b>Consistently achieve a minimum KPI target of 30 invoices processed per day while </b><b>maintaining</b><b> accuracy and efficiency.</b></li>
</ul><div><ul><li><b>Gross Margin (GM) Management</b></li></ul>
</div><ul><li><b>Ensure all invoices meet company gross margin expectations</b></li>
</ul><ul><li><b>Review billing components to support profitability and prevent margin leakage.</b></li>
</ul><ul><li><b>Identify</b><b> discrepancies and take corrective action to protect financial performance.</b></li>
</ul><div><ul><li><b>Client-Specific Billing &amp; Portal Management</b></li></ul>
</div><ul><li><b>Understand and follow individual client billing requirements, formats, and submission processes.</b></li>
</ul><ul><li><b>Submit invoices through </b><b>appropriate client</b><b> portals accurately and within required timelines.</b></li>
</ul><ul><li><b>Troubleshoot and resolve client-specific billing issues promptly and professionally.</b></li></ul><br>
<p></p>
<p><b>
Core Competencies</b></p>
<ul>
<li><b>Strong attention to detail and accuracy</b></li>
</ul><ul><li><b>Advanced organizational and time management skills</b></li>
</ul><ul><li><b>Solid understanding of billing processes and gross margin principles</b></li>
</ul><ul><li><b>Ability to manage high-volume workloads efficiently</b></li>
</ul><ul><li><b>Analytical and problem-solving mindset</b></li>
</ul><ul><li><b>Adaptability to client-specific requirements and changing processes</b></li>
</ul><ul><li><b>Strong communication</b><b> and collaboration skills</b></li></ul></div>

Billing Specialist - Commercial HVAC/R

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