Revenue Cycle Specialist

Schedule: Monday-Friday, 8:00 AM-5:00 PM

Work Arrangement: Onsite during training, transitioning to hybrid with 3 days onsite / 2 days remote

Compensation: $62,000-$71,000

A healthcare organization is seeking a Revenue Cycle Systems Specialist to support the administration, configuration, maintenance, and optimization of its revenue cycle technology platforms.

This is a hands-on systems role focused on payer configuration, fee schedules, clearinghouse functions, testing, troubleshooting, system maintenance, and implementation support
. It is not primarily a data-analysis position
.

The specialist will serve as a key resource across Revenue Cycle, Finance, IT, and Operations while supporting ongoing system enhancements and technology initiatives.

• Serve as a subject matter expert for revenue cycle EHR, billing, clearinghouse, and contracting systems.
• Maintain and configure payer/payor codes, payer rules, group plans, fee schedules, and reimbursement rate structures.
• Ensure system configurations align with payer contracts and support accurate charge capture and reimbursement.
• Manage and support clearinghouse-related functions and electronic payment or claims workflows.
• Perform ongoing revenue cycle system maintenance, updates, and configuration changes.
• Troubleshoot system issues and identify appropriate resolutions.
• Support software testing, upgrades, implementations, integrations, and system conversions.
• Assist with user training and improve adoption of revenue cycle systems and processes.
• Partner with IT, Finance, Operations, and Revenue Cycle leadership on system and process initiatives.
• Support automation, data validation, system optimization, and process-improvement projects.
• Maintain system processes related to batch services, duplicate records, voids, and other recurring maintenance functions.
• Monitor changes in payer requirements, contracts, and applicable healthcare regulations.
• Assist with billing-related functions as needed, though traditional billing will not be the primary focus of the role.
• Participate in ongoing KPI, technology, and operational improvement initiatives.
• Maintain accurate documentation and adhere to organizational compliance and security standards.

• Bachelor’s degree required, preferably in Business, Healthcare Administration, Finance, or a related field.
• Approximately 3+ years of relevant experience within healthcare, revenue cycle, systems administration, billing systems, or related functions preferred.
• Hands-on experience maintaining or configuring a revenue cycle, EHR, practice management, or billing system
  .
• Experience with areas such as:
• Payer/payor setup
• Payer rates
• Group plans
• Clearinghouse configuration
• System testing
• Troubleshooting
• System updates and maintenance
• Implementations or conversions
• Understanding of healthcare billing, insurance, and revenue cycle processes.
• Familiarity with CPT/HCPCS coding concepts and payer requirements preferred.
• Familiarity with key revenue cycle metrics such as AR days, denial rates, collections, and net revenue performance.
• Strong attention to detail and ability to work with complex system configurations.
• Ability to work independently and manage multiple priorities.
• Strong written and verbal communication skills.

The strongest candidate will have personally maintained and configured healthcare revenue cycle systems
, rather than primarily using those systems for reporting or analytics.

Candidates should be comfortable explaining specific examples of systems they have supported, including payer builds, rates, fee schedules, clearinghouse setup, testing, troubleshooting, maintenance, and implementation or conversion projects.

Billing knowledge is valuable and may occasionally be used for coverage, but the core of the position is revenue cycle systems administration and configuration
.

• Permanent position with ownership over critical revenue cycle systems and configuration.
• Opportunity to support a major system consolidation and implementation initiative.
• Exposure to active technology, KPI, automation, and process-improvement projects.
• Cross-functional partnership with Revenue Cycle, Finance, IT, and Operations.
• Opportunity to play a hands-on role in improving healthcare reimbursement and revenue cycle processes.