Revenue Cycle Specialist
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Job Description
Revenue Cycle Specialist supporting Infinx’s healthcare clients with billing, denials, collections, and reimbursement resolution. Using Cerner, FinThrive, and revenue cycle expertise to improve provider payments.
Responsibilities:
- Support hospital and clinic revenue cycle processes, including claim submission for all payers, payment posting, denial management, appeals, and collections
- Manage self-pay collections and resolve outstanding account balances
- Review accounts receivable, identify discrepancies, and resolve them
- Research and resolve complex credit balance scenarios
- Use Cerner (Oracle) to review account information, document activity, and resolve billing and collection issues
- Use FinThrive Clearinghouse to resolve billing edits and submit secondary claims
- Review payor contracts and reimbursement methodologies to identify and resolve payment discrepancies
- Apply coding guidelines, regulations, and reimbursement methodologies to resolve account issues
- Collaborate with clinical and financial teams to address issues affecting revenue
- Analyze metrics and reports to identify opportunities to improve revenue cycle performance
- Follow revenue cycle best practices and perform other duties as assigned
Requirements:
- High school diploma or equivalent
- 3+ years of experience in accounts receivable or revenue cycle management
- Knowledge of hospital and clinic revenue cycle processes, including claim submission, payment posting, denial management, appeals, and collections
- Knowledge of coding guidelines, applicable regulations, payor contracts, and reimbursement methodologies
- Experience with Medicare billing and collections, the Medicare DDE system, self-pay collections, and complex credit balance resolution
- Proficiency with Cerner (Oracle), Microsoft Excel, and Outlook
- Experience using FinThrive Clearinghouse to resolve billing edits and submit secondary claims
- Strong communication, organizational, time management, interpersonal, and problem-solving skills
- Ability to work independently and collaboratively with minimal supervision
- Commitment to the core values of Team, Integrity, Growth, and Innovation
Benefits:
- Access to a 401(k) Retirement Savings Plan
- Comprehensive Medical, Dental, and Vision Coverage
- Paid Time Off
- Paid Holidays
- Pet Care Coverage
- Employee Assistance Program (EAP)
- Discounted services
- Flexible work hours when possible
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