Special Projects Follow-Up Specialist - Revenue Cycle

Special Projects Follow-Up Specialist - Revenue Cycle

Job Category : ADMIN

Requisition Number : SPECI
001102

• Posted :
  January 8, 2026
• Full-Time
• Remote

Showing 1 location

Cotati, CA 94931, USA

Job Summary:

Performs day-to-day billing/follow-up activities required to get final resolution and collect outstanding accounts receivables (AR) from patients and insurances.

Pay Rate:

$25.00/hr, non-exempt

Essential Duties and Responsibilities:

• Processes billing/follow-up functions to increase cash collections and decrease AR (i.e., checks claim status, responds to additional documentation requests, confirms insurance eligibility, updates patient demographics, authorizations, payer, and ICD-10 coding).
• Identifies claims processing issues and works through them for claims resolution.
• Expedites and maximizes payment of claims by contacting and follow-up with communications to and from payers and patients via phone, online portals, email, fax, and mail.
• Performs claim negotiations and appeals.
• Files payor complaints at the local, state, and federal level
• Processes denials and works down AR.
• Utilizes all available resources (i.e., explanation of benefits, payer/vendor websites), to ensure claims are adjudicated correctly.
• Updates billing system to ensure that follow-up actions are properly documented.
• Completes detailed forms and reports accurately.
• Manages changes in priorities based on business need.
• Ensures compliance with State and Federal guidelines.
• Requests prior authorizations for state programs and health plans when required by using the payer’s online portal and or required applicable form
• Possesses knowledge of payer specific guidelines.
• Works correspondence and other mail from multiple sources i.e., fax, e-mail, and physical mail appropriately and timely.
• Manages incoming calls and email communications to resolve or direct to appropriate parties for resolution.
• Effectively communicates with RCM Management and external stakeholders.
• Performs additional duties as assigned.
• High school diploma, GED, or equivalent
• Two (2) or more years of experience in EMS and/or ambulance revenue cycle follow-up processes
• Must be able to read, write, and speak English fluently
• Demonstrated excellent documentation skills
• Computer literate (i.e. experience working with Microsoft Office Suite and typing skills)
• Ability to work with minimal supervision, following guidelines and company policy
• Collect, interpret, and analyze complex data

Preferred Qualifications:

• Experience working with Medicare, Medicaid and commercial insurances

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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