Revenue Cycle Specialist II

40 Dreams Catering is a dedicated senior meal prep company focused on providing nutritious, high
- quality meals to our community's elders. We ensure our seniors receive the care and flavor they deserve through consistent, healthy food service. We are looking for team members who are passionate about service, hospitality, and making a meaningful impact through the power of a great meal.

The Revenue Cycle Specialist II supports the full revenue cycle in a Medicaid insurance billing environment, including claims submission, payment posting, accounts receivable, denial resolution, and payer follow-up. This role is responsible for improving reimbursement accuracy, maintaining billing compliance, and supporting cash flow through strong reporting, analysis, and process improvement. This position also supports EMR billing workflows, monitors revenue cycle performance, and may oversee data entry and administrative support staff.

• Submit accurate claims to Medicaid and commercial payers.
• Monitor accounts receivable and follow up on unpaid or underpaid claims.
• Resolve claim denials, rejections, and payment discrepancies.
• Post payments and reconcile billing activity.
• Maintain AR aging within organizational benchmarks.

• Track billing performance, denials, and reimbursement trends.
• Build and maintain AR tracking dashboards and revenue cycle reports.
• Use Excel (including Pivot Tables) for reporting, reconciliation, and trend analysis.
• Identify root causes and recommend process improvements.

• Maintain accurate billing, insurance, and client data in the EMR.
• Support EMR billing workflows, audits, and system updates.
• Ensure compliance with payer guidelines, HIPAA, and New Jersey Medicaid
• requirements.
• Maintain complete and accurate billing documentation.
• Partner with leadership, finance, and administrative teams to resolve billing issues.
• Support staff on billing workflows and documentation requirements.
• May oversee data entry and administrative support staff.

• 3+ years of revenue cycle experience required.
• 5+ years of healthcare billing experience preferred.
• Strong knowledge of billing, AR, collections, and denial management.
• Working knowledge of CPT, HCPCS, and ICD-10 coding.
• 3+ years of EMR billing workflow or implementation experience required.
• Advanced Excel skills required, including:
• Reporting and trend analysis
• Strong analytical, organizational, and problem-solving skills.
• Ability to manage deadlines and multiple priorities.
• Reliable commute to Westfield, NJ.

• High School diploma with strong relevant experience is acceptable.
• Associate’s Degree preferred.
• Bachelor’s Degree in Healthcare Administration, Finance, Business, or related field
• preferred.

• CPB – Certified Professional Biller
• CPC – Certified Professional Coder
• CRCR – Certified Revenue Cycle Representative