Revenue Cycle Specialist
Listed on 2026-07-16
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Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Management
JOB TITLE:
Revenue Cycle Specialist
JOB LOCATION:
Oxford IN
WAGE RANGE*: $22-$28
JOB NUMBER: JR102002
JOB DESCRIPTION:
The Revenue Cycle Specialist 2 has a critical role in managing billing, collections and revenue processes to ensure timely and accurate reimbursement for services provided by our clients. The Revenue Cycle Specialist 2 may support various PCG RCM projects and assist with any RCM project task when needed. Cognitive flexibility and adaptability skills are needed to effectively manage the daily assignments for various projects.
Duties and Responsibilities
Claims Processing & Resolution: Executes pre-submission reviews to ensure maximum accuracy across Medicare, Medicaid, and commercial claims, while efficiently resolving clearinghouse and payer rejections for timely re-submission under strict deadlines
Denial Management: Research denied or underpaid claims, corrects errors, and submits appeals or adjusted claims within strict payer deadlines to maximize revenue recovery.
Accounts Receivable Follow-Up: Monitors aged A/R claims and communicates directly with insurance payers to identify unpaid claims, investigate processing delays, and secure timely reimbursement
Compliance and Coding: Ensure all billing practices comply with HIPAA regulations and internal PCG/client policies.
Invoicing :
Reviews patient statements for accuracy and mail statementsClient/Provider/Submitter Questions :
Answers provider, submitter, client questions regarding claims and claims related issuesAny other duties assigned and relevant to the RCM of the project
Required Skills
Ability to change tasks proficiently, cognitive flexibility (ability to quickly adjust your focus and mindset to meet new project demands without sacrificing performance)
Working knowledge of Medicare, Medicaid, Commercial Payer Portals and how to obtain claim status and create appeals.
Ability to organize and analyze data
Maintain revenue cycle integrity by accurately executing standardized billing processes under tight deadlines, demonstrating strong attention to detail, and proactively escalating complex account issues to supervisor/manager.
Proficiency with Microsoft Office, particularly Excel
Problem solving skills including the ability to identify issues and proactively make recommendations to resolve
Qualifications
High School Diploma or equivalent required
2 - 3 Years Relevant Revenue Cycle/Medical Billing Experience
Coding Certificate a plus
Proficiency in Advance Data Systems( ADS) Medics Premier preferred
Supervisory Responsibility
None
Working Conditions
Office Setting
* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits;
dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.
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