The Revenue Cycle Specialist is a multi-specialized role responsible for supporting all aspects of the revenue cycle, including cash posting, insurance coordination, and billing functions. This position ensures the accurate and timely processing of payments, verification and authorization of insurance coverage, and submission and follow-up of claims. The Specialist works collaboratively across departments to resolve reimbursement issues, maintain compliance, and support the organization’s financial performance.Responsibilities:Cash Posting & Reconciliation:Post payments, adjustments, and denials to patient accounts accurately and timelyPerform daily and monthly reconciliation of cash receipts and postings, identifying and resolving discrepanciesInsurance Coordination & Authorizations:Verify patient insurance eligibility, benefits, deductibles, co-pays, and authorization requirementsObtain and track prior authorizations, ensuring all required clinical documentation is complete and accurateBilling & Accounts Receivable Support:Prepare, review, and submit accurate insurance claims with appropriate coding and documentationMonitor and follow up on outstanding claims and accounts receivableCollaboration & Compliance:Collaborate regularly with the Client companies, Intake, Billing, and Collections teams to resolve reimbursement issuesEnsure all activities comply with HIPAA and organizational privacy and security policies
