Revenue Cycle Specialist 1
$47,840–$47,840 year
On-site · New York City, New York, United States
Job Summary
Revenue Cycle Specialist 1 responsible for monitoring and analyzing claim files across Commercial, Medicare, and Medicaid; resolving claims stuck in new status and unbilled items; managing rejections (277) and denials (835), reviewing outstanding accounts receivable, and performing QA audits. Will respond to provider, submitter, and client questions related to claims, enroll providers in the clearinghouse, and support project-level RCM tasks. Requires data analysis, strong Excel skills, familiarity with 837/999/277/835 formats, attention to detail, and the ability to work under tight deadlines while following established processes and escalating issues as needed.
Required Qualifications
- High School Diploma
- 5 years medical billing experience
- Proficiency with Microsoft Office, particularly Excel
- Understanding of industry standard claim formats and rejection/denial management (837, 999, 277, 835)
- Ability to organize and analyze data
- Ability to meet tight deadlines
- Ability to follow processes and escalate issues
- Demonstrated accuracy and attention to detail
- Problem solving skills to identify issues and recommend solutions
- Ability to enroll providers in clearinghouse
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