Revenue Cycle Billing Specialist

Corp - Cincinnati
Cincinnati, OH 45202, USA

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Position Summary

The Revenue Cycle Billing Specialist is responsible for managing the billing and reimbursement lifecycle to ensure accurate claim submission, timely reimbursement, payment posting, denial resolution, regulatory compliance, and effective collaboration with internal and external stakeholders. This role supports the organization's revenue cycle performance through proactive accounts receivable management, accurate payment posting, customer service, and adherence to Necco's corporate culture and operational standards.

You Should Be Accurately Described As:

A detail-oriented and solutions-focused professional who demonstrates accountability, strong communication skills, critical thinking, and a commitment to supporting organizational success through effective revenue cycle operations. You are resourceful, adaptable, and committed to continuous improvement while maintaining a high level of accuracy and customer service.

Claims Management & Accounts Receivable

• Utilize the Electronic Health Record (EHR) system to generate claims for per diem and fee-for-service billing and submit invoices to payers
• Review and act on submitted claims within established time frames to ensure timely reimbursement and resolution
• Monitor, investigate, and resolve held, rejected, denied, underpaid, or unpaid claims utilizing EHR, clearinghouse, and payer portal resources
• Submit corrected claims, reconsiderations, and appeals as appropriate
• Work assigned accounts receivable reports and prioritize follow-up activities based on aging and reimbursement risk
• Maintain accurate, organized documentation related to billing activities, claim follow-up, and claim outcomes
• Apply critical thinking to identify reimbursement trends, recurring claim issues, and workflow barriers; resolve issues within the scope of the role and elevate recurring or material concerns to Revenue Cycle leadership
• Collaborate professionally with internal departments to obtain information necessary for timely and successful claim resolution

Payment Posting

• Accurately post insurance, state, county, or other payer payments, denials, contractual adjustments, refunds, and other payment transactions within the Electronic Health Record (EHR) system
• Review Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) documentation for accurate posting
• Research and resolve payment posting discrepancies, variances, and exceptions
• Investigate unapplied or unmatched remittance activity and coordinate resolution with appropriate internal teams
• Maintain documentation related to payment posting activities and outcomes
• Identify and communicate payment trends, patterns, or concerns that may impact reimbursement or operational efficiency
• Assist with quality assurance reviews to ensure posting accuracy and consistency

Customer Service

• Foster strong internal and external relationships to support timely resolution of billing and reimbursement discrepancies
• Communicate clearly, professionally, and collaboratively with payers, service line teams, leadership, and other stakeholders regarding claim status, reimbursement issues, and required follow-up
• Serve as a resource for billing, reimbursement, and payment posting inquiries
• Identify and recommend opportunities for process and policy improvement based on trends observed during claim follow-up and reimbursement activities, and partner with Revenue Cycle leadership on appropriate workflow improvements
• Collaborate with the Revenue Cycle Management Team to support efficient systems, workflows, and standardized processes

Revenue Cycle Operations & Continuous Improvement

• Participate in cross-training initiatives across Revenue Cycle functions to strengthen team coverage, knowledge sharing, and operational consistency
• Assist in the development and maintenance of workflow documentation, job aids, and standard operating procedures
• Support continuous improvement and departmental standardization efforts that improve billing accuracy, reimbursement outcomes, and operational efficiency
• Participate in special projects related to revenue cycle optimization and financial sustainability
• Contribute to a culture of accountability, continuous…