We are seeking a highly skilled and detail-oriented Revenue Cycle Specialist with comprehensive, hands-on experience across the full medical billing lifecycle. This role requires expertise in charge entry review, clean claims submission, payment posting, insurance verification, claims and appeals management, and a strong understanding of revenue integrity and performance.

The ideal candidate has knowledge of insurance guidelines, CPT and ICD-10 coding standards, reimbursement methodologies, and end-to-end revenue cycle operations. Responsibilities include identifying issues proactively, ensuring timely and accurate claim processing, resolving billing and reimbursement discrepancies, and maintaining compliance with regulatory and payer requirements.

Key responsibilities include performing accurate charge entry review, submitting clean claims compliant with CPT and ICD-10 standards, payment posting with accuracy, conducting insurance verification, managing accounts receivable, preparing appeals with medical documentation, investigating and resolving denials, analyzing payer trends, ensuring compliance with Medicare, Medicaid, commercial payer guidelines, collaborating with clinical and office staff, and performing billing audits.