Revenue Cycle Specialist (4087)
$42,162–$54,122 year
HybridRaleigh, North Carolina, United States
EXPIREDRaleigh, North Carolina, United StatesHybridFull Time$42,162–$54,122 yearEntry LevelHigh School Or Equivalent
Full TimeEntry LevelHigh School Or Equivalent
Job Summary
Review and correct claims to ensure accurate billing and timely payments. Investigate claim denials, contact payers for resolution, and implement workflow enhancements to minimize denials. Manage credentialing, medical records, subpoena responses, and facility licensing while maintaining HIPAA compliance. Collaborate with billing teams, IT, and partner leadership to resolve submission discrepancies and support revenue optimization initiatives. Contribute to regular reporting on key performance indicators and attend staff meetings to drive operational efficiency.
Required Qualifications
- Basic knowledge of denial management processes
- Must be authorized to work in the United States
- Must complete background checks and credential verification
- Must be able to work in a drug-free workplace
Desired Qualifications
- Bachelor's Degree
- 1-3 years of experience in a similar role within healthcare revenue operations, billing, or claims processing
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