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Senior Revenue Cycle Specialist

USA Clinics Group

USA Clinics Group, founded by Harvard-trained physicians, is the nation's largest network of outpatient vein, fibroid, vascular, and prostate centers with 170+ clinics nationwide. The mission is to deliver life-changing, minimally invasive care close to home, fostering a culture of innovation, compassion, and accountability.

This role is a full-time, onsite Senior Revenue Cycle Specialist position located in Northbrook, IL. The candidate will manage the revenue cycle processes, focusing on payment posting, denial management, and insurance reimbursement trend analysis, with a proactive approach to process improvement and automation including AI technologies.

Key responsibilities include payment posting for various payer types, managing accounts receivable follow-ups, analyzing and resolving claim denials, identifying denial patterns, collaborating with billing, coding, and payer teams, monitoring aging reports, compliance maintenance, clear documentation, and workflow improvements through automation.

Required qualifications include strong healthcare accounts receivable knowledge, hands-on payment posting and reconciliation experience, deep understanding of denial management, ability to analyze payer trends, familiarity with EOBs, ERAs, CPT/ICD codes, and insurance guidelines, strong analytical skills, healthcare billing systems, EHR/RCM platform experience, and proficiency in Excel and reporting tools.

Preferred qualifications include experience with automation or AI tools in revenue cycle management, knowledge of Lean or Six Sigma, and medical billing/coding certifications (e.g., CPC, CCS).

The role values attention to detail, analytical thinking, process improvement mindset, strong communication, and adaptability to new technologies.

Benefits include medical, dental, vision insurance, retirement plan, and paid time off for vacation and sick leave.

Requirements & Qualifications
  • Strong understanding of healthcare accounts receivable processes
  • Experience with payment posting and reconciliation
  • Knowledge of denials management and resolution strategies
  • Ability to analyze insurer behavior and reimbursement trends
  • Familiarity with Explanation of Benefits (EOB), Electronic Remittance Advice (ERA), CPT and ICD coding, and insurance guidelines
  • Proficiency with healthcare billing systems and EHR/RCM platforms
  • Strong analytical and problem-solving skills
  • Experience with Excel and reporting tools
  • Preferred: Experience with automation or AI tools in revenue cycle
  • Preferred: Knowledge of Lean, Six Sigma, or similar process improvement methodologies
  • Preferred: Certification in medical billing/coding such as CPC or CCS
Benefits & Perks
  • Health insurance (medical, dental, vision)
  • Retirement plan
  • Paid time off (vacation, sick leave)

Location

Illinois, US

Employment Type

Full-time

Experience Level

Senior

Salary Range

$50,000 - $58,000

Remote work allowed

No

Posted

3 weeks ago

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