Source Job

US

  • Submit medical documentation and billing data to insurance providers
  • Research and appeal denied or rejected claims, and follow up on unpaid claims
  • Review insurance payments for accuracy and completeness using billing software

Microsoft Excel ICD-10 Medical Terminology Revenue Cycle Management

20 jobs similar to Revenue Cycle Management Specialist

Jobs ranked by similarity.

US

  • Review and evaluate denied claims using proprietary software to determine correct reimbursement.
  • Research and acquire medical records and supporting documentation for submission to payers.
  • Conduct telephone follow-up with payers to ensure prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.

US

  • You will review and manage pre-billing filters to ensure claims are submitted cleanly and in accordance with payor guidelines.
  • You will submit high volumes of claims with strong attention to detail, accuracy, and speed.
  • You will monitor and respond to a high volume of emails professionally and in a timely manner.

Proud Moments ABA is a behavioral health organization providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. It is a fast-growing company that offers a supportive culture with competitive pay, generous PTO, and advancement opportunities.

US

  • Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
  • Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
  • Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.

Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.

$56,200–$101,000/yr
US

  • Manage the workflow and activities related to recovery and revenue cycle management for complex claims.
  • Supervise team tasks, monitor performance, and investigate escalated issues.
  • Analyze reports on aging, accounts receivable, and ensure service level standards.

Centene connects people to the care they need to live healthier lives. It is a large healthcare company with a diverse workforce and a culture focused on improving lives, offering competitive benefits and remote flexibility.

$14–$18/hr
US

  • Perform follow-up status requests through telephone, internet, and fax requests.
  • Process incoming and outgoing mail, scanning, and document consolidation and indexing.
  • Maintain a working knowledge of internal policies and client systems and credentials.

Ternium specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals by optimizing their revenue cycle. They have a dedicated team of professionals focused on delivering outstanding results for healthcare providers.

$55,000–$70,000/yr
US Unlimited PTO

  • Manage an assigned book of insurance accounts receivable, working claims from submission through final resolution to keep aging balances down.
  • Follow up with payers on outstanding claims, underpayments, and payment discrepancies, and drive them to close.
  • Investigate and resolve claim denials and rejections — corrected claims, appeals, and reconsiderations with the documentation payers require.

SimpliFed gives parents the tools they need to navigate baby feeding questions, concerns, and obstacles, starting in pregnancy and through the feeding journey. We're a Series A company growing fast, and our operational and revenue infrastructure needs to grow with us.

US

  • Manage patient billing episodes, prior authorizations, and claim submissions.
  • Review and resolve claims issues, appeals, and eligibility with payors.
  • Ensure timely follow-up on outstanding accounts and document activities.

Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving more than 74,000 patients daily. As the leading provider of medication-assisted treatment in the nation, our team is at the forefront of the battle against the opioid epidemic.

United States

  • Respond to patient billing and insurance inquiries via Zendesk, resolve financial questions, and manage payment arrangements with empathy.
  • Work Athena claim hold and denial queues, research claims in payer portals, and coordinate with clinical teams to resolve documentation gaps.
  • Serve as billing and insurance subject matter expert for the Patient Experience team, identify root causes of denials, and support process improvements.

Midi Health is a comprehensive virtual care clinic for women in midlife, focusing on perimenopause, menopause, and midlife health challenges. It is a fast-growing telehealth company with a collaborative, remote-first culture.

US Unlimited PTO

  • Own end-to-end claims and revenue-cycle operations, including claim submission, denials, appeals, and collections across Medicaid and commercial payers.
  • Build and optimize payer-specific billing workflows, including claim configuration, coding, and credentialing.
  • Drive cross-functional execution with Operations, Partner Success, and Finance to improve processes and achieve over $1M in monthly claims.

Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations, combining technology with networks of clinicians, suppliers, and installers. Founded by experienced entrepreneurs, Jukebox Health is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot, with a high-trust, collaborative, remote-first culture.

US

  • Verify patient eligibility and analyze Medicaid claim payments to ensure proper reimbursement.
  • Review UB-04 billing components and prepare initial Medicaid bill packets with supporting documentation.
  • Conduct timely follow-up with payers, manage authorizations, and appeal denials as needed.

EnableComp provides specialty revenue cycle management solutions for healthcare organizations, using intelligent automation to improve financial sustainability for hospitals and health systems. Recognized as a Top Workplaces recipient and among the Inc. 5000 fastest-growing private companies for eleven years, the company fosters a family-oriented culture focused on employee growth.

US

  • Manage billing, receivables auditing, and collections for services provided to patients in assigned facilities.
  • Achieve monthly cash collection goals and minimize the impact of bad debt.
  • Interact with insurance companies via telephone and written correspondence to resolve unpaid claims.

CommuniCare Family of Companies is a national leader in post-acute care, providing person-centered services for individuals with chronic or complex conditions. With over 19,000 employees across six states, the family-owned company is dedicated to serving with pride and fostering an environment where employees thrive.

US

  • Manage claim submission and resolution for governmental and commercial insurance accounts.
  • Analyze and correct accounts receivable problems, post payments, and resolve credit balances.
  • Research denials, initiate appeals, and maintain documentation for maximum reimbursement.

CCS is a healthcare company specializing in chronic care management, using AI-powered models to improve patient adherence and outcomes. It supports over 200,000 patients nationwide and is recognized as a Great Place to Work.

$185,000–$215,000/yr
US

  • Own RCM end to end for Medicaid and Medicare, from eligibility through claims, denials, and collections.
  • Lead strategy, team building, KPI reporting, and cross-functional collaboration with operations, product, and engineering.
  • Analyze claims data to improve collection rate, manage payer relationships, and ensure billing compliance.

Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.

US

  • Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
  • Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
  • Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.

Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.

US

  • We are seeking detail-oriented candidates for medical billing and coding positions. - Experienced professionals in claims, insurance verification, and accounts receivable are encouraged to apply. - Entry-level candidates will receive training as needed to succeed in the field.

Sydiera Healthcare Staffing connects motivated individuals with opportunities in medical billing and healthcare administration. They welcome both experienced professionals and entry-level candidates interested in building a career in the healthcare revenue cycle.

  • Initiate and follow up on unpaid or denied claims with payers or patients.
  • Resolve delinquent accounts and obtain missing claim information for prompt payment.
  • Research, appeal, and resolve claim rejections or denials.

Herself Health is building a new model of primary care for women 65+, offering patient-centric clinics in the Twin Cities metro. Their mission-driven team is innovating the primary care landscape to provide specialized care for women's later-life needs.

US

  • Responsible for daily billing functions including claim edits, insurance review, and follow-up on unpaid claims.
  • Must display knowledge retention through scheduled competency assessments and work independently or collaboratively.
  • Requires high school diploma or equivalent, with Microsoft Office experience; preferred patient billing and Epic experience.

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Their mission is to live God’s love by promoting and restoring health, with a commitment to safety and integrated healthcare.

$27–$27/hr
US

  • Submit claims to insurance companies and manage billing processes for medical services.
  • Use medical billing software to enter patient data and maintain accurate records.
  • Perform administrative tasks related to claims and billing optimization.

Beam Healthcare is a telemedicine company focused on providing quality-based care with a team-based approach. They are a growing team of providers, administrators, analysts, and friends who share the vision of Healthcare Equality.

$50,000–$58,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • Support front-end and back-end billing operations for a fully virtual care delivery model.
  • Ensure accurate charge entry, claims submission, and denial resolution.
  • Serve as a billing point of contact for families, explaining insurance processes with empathy.

InStride Health delivers specialty anxiety and OCD care for children, teens, and young adults through a combination of research-backed clinical care and innovative technology. The team is mission-driven, focused on expanding access to insurance-based care, and values heart, smart work, humility, and community.

US

  • Own and scale the RCM engine across payer contracting, billing, denials, collections, and reconciliation.
  • Lead the RevOps team and act as the go-to expert on revenue cycle performance.
  • Drive root-cause resolution of denials and build process improvements for audit-ready scale.

Clarity Pediatrics is redefining pediatric chronic care by uniting virtual multi-specialty care for kids with ADHD, allergies, asthma, and obesity. It has raised $25M from top VCs and is scaling after a substantial Series A.