Revenue Cycle Claims Specialist

Job Summary

A company is looking for a Revenue Cycle Claims Specialist.

Key Responsibilities

• Monitor and resolve claims issues, including timely filing, payer rejections, and eligibility problems
• Research and appeal claim denials while ensuring compliance with payer regulations and internal policies
• Collaborate with cross-functional teams to optimize revenue cycle processes and drive operational efficiency

Required Qualifications

• 5+ years of experience in revenue cycle management or related roles, preferably in healthcare
• Deep understanding of billing, claims processing, collections, and compliance
• Proven ability to analyze RCM data and implement data-driven solutions
• Expertise in process optimization for revenue cycle efficiency
• Proficiency in Google Suite, Slack, and EHR/RCM management tools