20 Best Revenue Cycle Specialist jobs (Hiring Now!)

Reimbursement Specialist - Ardmore, OK
Lighthouse Behavioral Wellness Centers —Ardmore, OK
Bachelor’s degree preferred but not required in a relatable field or relevant work experience and certifications may be considered in lieu of a degree.
$24.15 an hour
Revenue Cycle Manager
Mosaic Pediatric Therapy —Charlotte, NC
Associate’s degree in related field required (Bachelor’s degree preferred). Ensure the activities of the billing team are conducted in a manner that is…
$60,000 - $75,000 a year
Quick Apply
Medical AR Specialist
Columbus Oncology & Hematology —Dublin, OH
Ability to navigate billing system tools to identify aged outstanding balances. Identify, review, research, and resolve credit balances ensuring the correct…
Estimated: $35.9K - $45.5K a year
Quick Apply
Revenue Cycle Specialist 1 (*This is not a remote position.)
Matthew Walker Comprehensive Health Center —Nashville, TN
Professionally answer incoming telephone calls from Payers and patients providing answers to questions and concerns about billing statements and accepting…
Estimated: $35.7K - $45.3K a year
Quick Apply
Revenue Accounting Manager
SCA Health —Myrtle Point, OR
Lead, develop, and mentor revenue accountant(s) and analyst(s), developing knowledge bases within the team and serving as a revenue “expert” in the…
$90,000 a year
Quick Apply
4d
Claims Resolution/Insurance Claim Follow Up Specialist
Cornerstone Adminisystems Inc. —New Cumberland, PA
Handle incoming phone calls related to insurance information from patients and insurance companies. Initiate phone calls to carriers for claim status, denials…
$16 - $17 an hour
Quick Apply
Revenue Cycle Specialist
Healthcare Integrity Revenue Solutions, INC —Remote
They are called "1099 contractors" because the business for which they perform work does not typically withhold income tax, Social Security, or Medicare from…
$14 an hour
Quick Apply
1d
Assistant Plant Controller
SCN —Cottondale, AL
Prepares annual budget and forecasts during the year for the income statement, balance sheet and cash flow. Prepares a 13-week cash forecast to determine short…
Estimated: $108K - $137K a year
Quick Apply
Revenue Cycle Manager
Clinical Research Specialist, P.A. —Kissimmee, FL
This includes billing, coding, claims management, and reimbursement analysis. As a Revenue Cycle Specialist, you will play a crucial role in ensuring the…
From $55,000 a year
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Revenue Cycle/Chargemaster Specialist
Stevens Community Medical Center —Morris, MN
Other responsibilities include entry and verification of balance charges and reviewing posted charge reports and work queues.
Estimated: $33.9K - $43K a year
Quick Apply
Revenue Cycle Manager
Desert Senita Community Health Center —Coolidge, AZ
Bachelor’s degree in business administration, finance, accounting, healthcare administration, or other related field strongly preferred.
$80,000 - $95,000 a year
Quick Apply
5d
Posting Reconciliation Specialist
Charlie Health —Nashville, TN
When we find data that calls our original plan into question, we modify or pivot. Posting Reconciliation specialists use their problem-solving skills to…
Estimated: $49K - $62K a year
Quick Apply
Revenue Cycle Specialist/Certified Medical Coder/Biller
Vita Medical Associates —Bethlehem, PA
Supervise effective collection of payments from patients, insurance companies and government programs. Process and coordinate all electronic charges for billing…
$60 an hour
Quick Apply
Billing Office Insurance Follow-up Specialist
Centers for Gastroenterology —Fort Collins, CO
Sitting 90% - answering the telephone, scheduling appointments and procedures in the call center, working at the front desk, working on the computer.
$19.10 - $23.35 an hour
Quick Apply
8d
Finance Director
Pueblo Community Health Center —Pueblo, CO
Work closely with the Chief Financial Officer to develop and prepare organizational budgets and operating plans, required by the Board of Directors and/or…
$92,414 - $103,272 a year
Quick Apply
Implementation Specialist, Revenue Cycle
CarepathRx —Florida
Initiate and lead cross-functional team conference calls and video presentations coordinating both internal and external customers.
Estimated: $45.9K - $58.1K a year
Clinic Eligibility & Prior Authorization Specialist
Ridgecrest Regional Hospital —Ridgecrest, CA
This position supports all Ambulatory clinic locations, and provides registration and front desk coverage and special project support, across locations as…
Estimated: $41.7K - $52.8K a year
Data & Revenue Cycle Specialist
MBI Health Services, LLC —Washington, DC
Bachelor's degree in Business Administration, Public Health, Human Services, or a related field preferred. Experience with data analysis and reporting.
Estimated: $48.2K - $61K a year
Quick Apply
Medical Billing Specialist
Emax RCM —Peterborough, NH
Answer & resolve patient, insurance, and provider phone calls. You must have experience in healthcare revenue cycle management, and have a working understanding…
$19 - $26 an hour
Quick Apply
10d
Revenue Cycle Specialist
CH Revenue Management Solutions —Tinton Falls, NJ
The Revenue Cycle Specialist is responsible for analyzing claim data, preparing arbitration statements and appeals and ensuring compliance by payors with…
From $26 an hour
Quick Apply

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Reimbursement Specialist - Ardmore, OK

Lighthouse Behavioral Wellness Centers - Ardmore, OK

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Job Details

Full-time $24.15 an hour

Benefits

Continuing education credits
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching

Qualifications

Microsoft Excel
English
Research
Bachelor's degree
Medical billing
Medical Billing & Coding
Employee evaluation

Full Job Description

A Lighthouse is needed to help guide the way; to emit a light that helps navigate turbulent times and warn against the possible dangers ahead. Lighthouse Behavioral Wellness Centers is just such a place, guided by its core values of Hope, Dedication and Community.

As a Reimbursement Claims Specialist, you will review provider claim denials for all Medicaid (Oklahoma Health Care Authority) and Department of Mental Health and Substance Abuse Services (ODMHSAS) and will take all steps necessary to correct denials, assess and monitor trends and provide feedback to ensure resolution and establish steps to avoid future denials.

To meet the increasing needs of our communities it is imperative that all team members understand and successfully reach and maintain the expected performance standard levels. In order to achieve total and sustainable success each person must do their part. Lighthouse will do its part in providing any and all necessary tools and training required to help team members be successful.

DEFINITION:

Under immediate to general supervision, provides reimbursement claim management for all OHCA and ODMHSAS claims. This position is supervised by the Chief Financial Officer.

EDUCATION AND EXPERIENCE:

Bachelor’s degree preferred but not required in a relatable field or relevant work experience and certifications may be considered in lieu of a degree.

Experience with medical billing/claims, explanation of benefits and denial codes is required.

KNOWLEDGE AND SKILLS:

Ability to work effectively and courteously with people from various cultures and backgrounds, and to exercise good professional judgment.

Ability to communicate effectively, orally and written. Able to follow oral and written instructions.
High attention to detail and the ability to multi-task

Experience in Excel and Word

Ability to research and investigate billing and payer policies.

Able to assess and identify trends and make recommendations regarding the outcome.

JOB DUTIES AND RESPONSIBILITIES:

This position is responsible and held accountable for the following duties:

Review and resolve denied billing problems to ensure accurate and complete billing.
Monitors weekly denied billing based on the following: documentation, billing accuracy, medical necessity, coding, modifier and related issues.
Using data from the weekly monitoring, identifies and rectifies billing and documentation errors.
Makes recommendation to Supervisors and Compliance regarding documentation processes and training.
Responsible for checking all submitted Pl benefits requests daily and notifying clinic staff of results.
Work with clinic staff to ensure guarantors are entered in EHR correctly.
Review daily and work with billing staff to clear denied billing and post payments/adjustments to consumer accounts.
Work with current Insurance clerk to maintain active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers and Medicare.
Work closely with Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to billing and provider credentialing.
Maintain accurate provider profiles on CAOH and Clearinghouse program.
In conjunction with Quality Improvement Specialist, educates and provides training on proper billing, follow-up, and documentation practices.
Will actively manage, maintain, and communicate denial/ appeal activity to the Chief Financial Officer and Site Supervisors and report suspected or emerging trends related to payer denials.
Maintains documents and records in an orderly manner and files them quickly and accurately.
Completes all agency documentation of services in a thorough, accurate and timely manner. Regular and predictable attendance is an essential job requirement.
Employee must be willing and able to perform all job-related travel normally associated with this position.
Must meet agency standards of productivity and fiscal responsibility.

Must meet "satisfactory" expectations at any scheduled job performance evaluation, coaching and/or Performance Improvement Plans.

Assessment and appraisal of quality of work will be evaluated through training, skill, chart review or special purpose.

Performs other reasonably related duties as assigned by the immediate supervisor or other management as requested.

Must perform the specific job duties as listed above to meet position expectations.

In addition, must possess skill in working cooperatively and effectively with clients, staff, management, and other professional and community groups; in exercising mature judgment in dealing with people; in presenting ideas clearly and accurately; in reading and comprehending the English language; and in communicating effectively, both orally and in writing.

BENEFITS

Lighthouse offers an excellent benefits package to full-time employees. Benefits include: 100% employer-paid premiums for health, dental, life, and vision insurance; generous paid leave including PTO, sick, and agency holidays, employer matching 401K plan, and paid continuing education.

401(k)
Dental insurance
Flexible spending account
Health insurance
Paid time off
Vision insurance

Job Type

Full-time

Ability to commute/relocate:

Ardmore, OK: Reliably commute or planning to relocate before starting work (Required)

Work Location

One location

Apply Now

Revenue Cycle Specialist jobs

Reimbursement Specialist - Ardmore, OK

Revenue Cycle Manager

Medical AR Specialist

Revenue Cycle Specialist 1 (*This is not a remote position.)

Revenue Accounting Manager

Claims Resolution/Insurance Claim Follow Up Specialist

Revenue Cycle Specialist

Assistant Plant Controller

Revenue Cycle Manager

Revenue Cycle/Chargemaster Specialist

Revenue Cycle Manager

Posting Reconciliation Specialist

Revenue Cycle Specialist/Certified Medical Coder/Biller

Billing Office Insurance Follow-up Specialist

Finance Director

Implementation Specialist, Revenue Cycle

Clinic Eligibility & Prior Authorization Specialist

Data & Revenue Cycle Specialist

Medical Billing Specialist

Revenue Cycle Specialist

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