Source Job

$50,000–$65,000/yr
US Unlimited PTO

  • Process and submit claims to health plans accurately and on time, maintaining momentum through the billing cycle.
  • Investigate denied and rejected claims, identify root causes, correct, and resubmit; flag recurring patterns to fix issues at the source.
  • Monitor claim status, follow up on reimbursement, support reporting and month-end close, and partner with finance, product, and engineering teams.

Medical Billing Denial Management Excel Healthcare Reimbursement

20 jobs similar to Revenue Cycle Specialist

Jobs ranked by similarity.

US

  • Manage accounts receivable, including analysis of aged AR and identification of root cause issues.
  • Investigate, resolve, and appeal insurance claim denials, contacting payer representatives as needed.
  • Collaborate with internal teams and care center staff to drive optimal revenue cycle performance.

Privia Health is a technology-driven physician enablement company that partners with medical groups and health systems to optimize practices and improve patient experiences. It is led by top industry talent and physician leadership with a focus on scalable operations and cloud-based technology.

Global

  • Manage the full revenue cycle from patient registration through claims resolution.
  • Accurately submit and track medical claims to various insurance payers.
  • Perform accounts receivable follow-up, identifying and resolving denied, underpaid, or unpaid claims.

Allara is a comprehensive women's health provider that offers expert, longitudinal care for hormonal, metabolic, and reproductive conditions. It is one of the fastest-growing women's health platforms in the U.S., trusted by thousands of women nationwide.

$14–$18/hr
US

  • Contact insurance companies to check claim status and appeal submissions via payer portals and phone calls.
  • Manage administrative tasks such as gathering medical records, processing mail, and maintaining filing systems.
  • Build foundational knowledge of healthcare claims, ERISA regulations, and Commercial and Managed Care insurance policies.

Ternium specializes in resolving complex healthcare insurance claim denials and delays, helping hospitals and health systems optimize their revenue cycles. We are a growing, mission-driven team focused on professional development, inclusion, and improving healthcare outcomes.

US

  • Coordinate denial and appeal follow-up activities to ensure timely resolution of insurance denials and appeals.
  • Investigate payment issues with insurance carriers, maintain tracking systems, and document follow-up actions.
  • Analyze performance data and collaborate with revenue integrity teams to improve billing accuracy and recovery.

This healthcare organization specializes in pediatric care and research, focusing on operational excellence. The team fosters a collaborative culture centered on quality, accountability, and continuous improvement.

US

  • Receive medical claims from healthcare providers or patients and verify supporting documentation to ensure completeness.
  • Interpret Explanation of Benefits (EOB) and CMS-1500 forms, then evaluate claims against program-specific business rules for approval or rejection.
  • Provide support to customer inquiries via phone, email, or fax while maintaining HIPAA compliance and meeting daily productivity goals.

IQVIA is a leading global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. With operations in over 100 countries, they cultivate a diverse, collaborative culture focused on improving patient outcomes.

India

  • Monitor clearinghouse portals and resolve rejected medical claims daily.
  • Investigate rejection causes including coding errors and eligibility issues.
  • Correct claim information and resubmit to insurance payers for reimbursement.

Our partner is a healthcare revenue cycle management company focused on optimizing medical claims processing for providers. They offer a collaborative, inclusive work culture with opportunities for professional growth in a remote environment.

US

  • Process and transmit electronic and paper claims to insurance companies, patients, and other responsible parties.
  • Follow up on unpaid claims, review rejections, and resolve payment questions with insurance providers.
  • Verify insurance benefits, analyze charges and payments, and support coordination of benefits for patient accounts.

Munson Healthcare is northern Michigan's largest healthcare system, operating eight award-winning community hospitals across 29 counties. The organization values excellence, teamness, positivity, and creativity, and is committed to creating exceptional experiences for patients and staff.

$52,000–$58,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • Review clinical documentation and ensure accurate charge entry in the billing system.
  • Submit insurance claims, monitor status, and resolve denials to maintain a clean billing cycle.
  • Support families with billing questions and assist with accounts receivable monitoring.

InStride Health delivers specialty anxiety and OCD care for kids, teens, young adults, and families through evidence-based clinical care and technology. The company is a mission-driven startup focused on expanding access to insurance-based care, with a collaborative culture grounded in values like heart, humility, and community.

California

  • Own Medicare billing, provider enrollment, and compliance for the group.
  • Review and release every claim before it goes to Medicare, checking codes and documentation.
  • Support physicians and their offices with billing questions, onboarding, and payment reports.

Integrated Complex Care Associates (ICC) is a California physician group that serves patients with complex health needs, led by each patient's own primary physician. The team is building its billing function from the ground up, so this role is the first full-time hire and offers a hands-on, independent culture.

$1,179–$1,179/mo
Philippines

  • Manage charge entry, coding, claim submission, and ensure accurate and timely processing of claims.
  • Post payments, reconcile billing transactions, work denials, and handle insurance follow-ups.
  • Support patient billing, resolve account concerns, and contribute to the revenue cycle process.

Wing is redefining the future of work by providing companies with a one-stop shop for building world-class teams and automating operations. It offers an inclusive, supportive culture with opportunities for career growth and upskilling.

US

  • Manage provider credentialing and re-credentialing with commercial payers, Medicare, Medicaid, and managed care organizations.
  • Prepare and submit accurate medical claims with proper CPT, HCPCS, and ICD-10 coding to minimize denials and delays.
  • Reconcile payments, investigate denials, and maintain compliance with HIPAA and payer requirements.

US

  • Conduct detailed audits of medical claims, billing records, coding, and clinical documentation.
  • Partner with healthcare system clients to resolve billing discrepancies and improve reimbursement.
  • Serve as a subject matter expert on Medicare, Medicaid, and commercial payer billing requirements.

Jaan Health is an AI-based care management company serving healthcare providers with its Phamily platform to deliver proactive care. It is a fast-growing, early-stage company built on five principles: care, curiosity, clarity, co-creation, and craftsmanship.

$68,000–$103,500/yr
US

  • Serve as a subject matter expert in claim denials, payment posting, and remittance reconciliation, independently managing complex queues.
  • Analyze Explanation of Benefits (EOBs) and remittance advice to identify root causes of denials and payment discrepancies.
  • Collaborate with team members to optimize workflow, resolve billing issues, and mentor junior staff.

Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally through employer and health plan partnerships. The company has delivered over 15 million sessions of care and fosters a culture focused on innovation, collaboration, and high-quality outcomes.

US

  • Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for allergy and asthma services.
  • Prepare and submit clean claims electronically, monitor claim status, and process insurance and patient payments.
  • Ensure compliance with payer guidelines, HIPAA, and federal regulations while supporting revenue cycle performance.

Modena Health is a leading, rapidly growing physician-led medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona. The team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research.

US

  • Own the full revenue cycle function for MSO clients, from coding and claim submission through payment posting and denials management.
  • Lead a large distributed team of coders and billing staff, overseeing quality, compliance, and payor relationships.
  • Deliver monthly financial reports to practices, identify revenue leakage, and drive process improvements that impact financial health.

Oasis Health Partners is building healthier communities by advancing primary care, partnering with patients, providers, and plans to deliver personalized, local care for seniors. They are a growing organization focused on value-based care, with a culture that values listening, doing the right thing, and collaborating while having fun.

US

  • Analyze, research, and resolve issues related to the creation and submission of paper and electronic claims.
  • Monitor claim errors, identify opportunities for new edits, and collaborate with the Business Systems Department to implement clearinghouse edits.
  • Validate daily imports, balance hash totals, and report system issues to IS to ensure timely resolution.

Pediatrix Medical Group is one of the nation’s largest providers of prenatal, neonatal and pediatric services, led by physicians. They offer a diverse range of opportunities, competitive salaries, and a commitment to clinical excellence, focusing on a team approach to improve patient lives.

$100,000–$130,000/yr
US 4w PTO

  • Lead day-to-day billing and coding operations across multiple markets, payers, and service lines.
  • Coach and develop Billing and Coding Supervisors to drive performance and accountability.
  • Own Revenue Cycle KPIs, process improvements, and cross-functional partnerships.

Imagine Pediatrics is a tech-enabled, pediatrician led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.

US

  • Preparing billing and registration worksheets while collecting and verifying demographic information.
  • Contacting insurance companies as needed and submitting daily and monthly statistics.
  • Providing administrative support to physicians, the Medical Director, and the Corporate Office.

Pediatrix Medical Group is a physician-led provider of highly specialized health care for women, babies and children. It is one of the nation's largest multi-specialty medical groups, with a team-oriented culture focused on clinical excellence.

US

  • Analyze hospital claims to identify discrepancies between expected and actual insurance reimbursements.
  • Investigate underpayments and payment variances by examining coding errors, billing discrepancies, and payer policies.
  • Collaborate with insurance carriers and internal stakeholders to resolve billing issues and improve revenue recovery outcomes.

This partner company specializes in healthcare revenue integrity, helping hospitals recover appropriate reimbursement for services. The team fosters a collaborative, inclusive culture focused on continuous improvement and professional development.

US

  • Own end-to-end revenue cycle operations including billing, collections, A/R, and payer enrollment.
  • Drive transformation across denial management, credentialing, and revenue integrity.
  • Partner with executive leadership to optimize cash flow and build scalable systems.

Blackbird Health is a clinician-founded organization providing virtual and in-person pediatric mental health care across multiple states. The company is expanding rapidly, with a collaborative and innovative team focused on whole-child treatment.