Revenue Cycle Specialist

Job Description

Salary: 28.00 - 35.00 per hour

Revenue Cycle Specialist

Affinity Neurocare Frisco & Carrollton, Texas

Reports To:

Executive Leadership

The Revenue Cycle Specialist is responsible for managing all aspects of the billing, coding, and reimbursement process to ensure accurate and timely revenue collection. This position supports the clinics financial health by overseeing patient billing, claims submission, insurance follow-up, and payment posting, while maintaining compliance with all federal, state, and payer-specific regulations.

• Review and verify accuracy of patient demographic, insurance, and charge information before claim submission.
• Denial resolutions and resubmissions
• Assign and validate CPT, ICD-10, and HCPCS codes based on provider documentation.
• Prepare, submit, and track electronic and paper claims to insurance carriers.
• Monitor claim rejections, denials, and underpayments; perform timely resubmissions and appeals.
• Post payments, adjustments, and refunds accurately in the billing system.
• Maintain current knowledge of payer policies, medical necessities, and coding guidelines specific to neurology services (EEG, EMG, Botox, Infusions, Ambulatory EEG, etc.).
• Generate monthly reports on collections, aging, denials, and AR performance for leadership review.
• Collaborate with front office and clinical teams to resolve billing discrepancies and enhance revenue capture.
• Ensure all billing activities comply with HIPAA, CMS, and compliance standards.
• Identify trends and recommend process improvements to enhance efficiency and reduce denials.

• Associates degree in healthcare administration, business, or related field preferred.
• Minimum 3 years of medical billing and coding experience, preferably in neurology or specialty practice.
• Certification preferred: CPC, CPB, or equivalent (AAPC or AHIMA).
• Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
• Experience with Medicare, commercial payers, and Workers Comp.
• Excellent organizational, analytical, and communication skills.
• Proficiency in EHR and billing software (e.g., Advanced
  
  MD, eClinical
  
  Works, Kareo, or similar).

• Attention to detail and accuracy
• Strong problem-solving and follow-up skills
• Confidentiality and ethical handling of PHI
• Team collaboration and accountability
• Ability to meet deadlines in a fast-paced environment

• Full-time, Monday-Friday
• Competitive salary based on experience
• Benefits package available after probationary period