Revenue Cycle Specialist

Position Summary The Revenue Cycle Specialist - Medical Billing is responsible for managing and supporting the medical billing and reimbursement process to ensure accurate claims submission, timely payment collection, and compliance with healthcare regulations. This role works closely with providers, insurance companies, and patients to resolve billing issues and optimize revenue cycle performance. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance carriers and government payers Verify patient insurance eligibility, benefits, and authorization requirements Follow up on unpaid or denied claims and resolve billing discrepancies promptly Post payments, adjustments, and reconcile accounts receivable balances Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) for accuracy Appeal denied or underpaid claims with supporting documentation Maintain compliance with HIPAA, payer guidelines, and healthcare billing regulations Communicate with patients regarding billing questions, payment arrangements, and account balances Monitor aging reports and work outstanding accounts to reduce days in A/R Collaborate with clinical and administrative staff to improve billing accuracy and workflow efficiency Maintain accurate documentation and patient account records within the billing system Assist with month-end reporting and revenue cycle audits as needed Qualifications High school diploma or GED required; Associate degree preferred Minimum 2 years of experience in medical billing, revenue cycle management, or healthcare reimbursement Knowledge of CPT, ICD-10, and HCPCS coding standards Experience with EMR/EHR and medical billing software systems Understanding of commercial insurance, Medicare, Medicaid, and managed care billing processes Strong attention to detail and organizational skills Excellent communication and customer service abilities Ability to manage multiple priorities in a fast-paced healthcare environment Preferred Skills Certified Professional Biller (CPB) or related certification preferred Experience with denial management and appeals Proficiency in Microsoft Office Suite, especially Excel Knowledge of healthcare compliance and payer regulations Preferred Collaborate MD System experience

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Work Location:

Hybrid remote in Tempe, AZ 85283