Revenue Cycle Specialist – Backend
Rhythm
full-time
Posted on:
Location Type: Remote
Location: Remote • Nevada • 🇺🇸 United States
Visit company websiteSalary
💰 $60,000 - $75,000 per year
Job Level
SeniorLead
About the role
- Claims Management: Review and submit corrected claims to payers as needed.
- Monitor claim status and follow up on unpaid or rejected claims.
- Denial Management: Analyze denial reasons and take corrective actions to resolve issues.
- Collaborate with payers and internal teams to appeal and overturn denials.
- Collections & Follow-Up: Initiate follow-up on outstanding balances with payers.
- Escalate unresolved accounts according to company policy.
- Compliance & Documentation: Maintain compliance with HIPAA and payer regulations.
- Document all actions taken in the patient account system.
- Reporting & Analysis: Generate and review reports on back-end performance metrics.
- Identify trends and recommend process improvements.
Requirements
- 7+ years in revenue cycle, medical billing, or healthcare finance.
- 2+ years of experience on XiFiN Revenue performance management system.
- Strong knowledge of insurance guidelines, EOBs, and denial codes.
- Proficiency in billing systems and Microsoft Office Suite.
- Excellent attention to detail and organizational skills.
- Strong communication and problem-solving abilities.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementdenial managementbilling systemsrevenue cyclemedical billinghealthcare financeinsurance guidelinesEOBsdenial codesreporting and analysis
Soft skills
attention to detailorganizational skillscommunicationproblem-solving