Revenue Cycle Specialist

Our client is seeking a Revenue Cycle Specialist on a temp to hire basis. This position will manage claim review, submission, payer follow-up, denial resolution, and appeals. Reporting to the Billing Manager, this individual will help ensure timely reimbursement, accurate documentation, and efficient claim resolution.

Key Responsibilities

- Verify insurance coverage and review claims for accuracy and completeness.
- Submit claims and follow up with insurance payers.
- Investigate denials, review supporting documentation, and identify coding discrepancies involving CPT and ICD-10.
- Prepare and process insurance appeals and claim corrections.
- Analyze claims to determine the appropriate next action, including corrections, resubmissions, reprocessing, appeals, or escalation.
- Work with providers, coders, and administrative staff to resolve billing discrepancies.
- Navigate payer portals to obtain claim information and updates.
- Accurately document follow-up activities and maintain compliance with billing regulations.
- Help improve reimbursement and overall revenue cycle efficiency.

Requirements

- High school diploma or equivalent.
- 2+ years of medical billing experience.
- Hands-on insurance appeals experience (first- and/or second-level).
- Strong analytical skills and ability to determine appropriate claim resolution steps.
- Knowledge of medical billing processes, claim denials, and payer follow-up.
- Strong communication, organizational skills, and attention to detail.
- Computer proficiency and ability to navigate payer portals.
- Ability to follow established workflows, accept coaching, and adapt to company procedures.
- Out-of-network billing experience is preferred but not required.

Pay Rate: $23–$25/hour

BENEFITS

We offer eligible employees competitive pay and access to a range of benefits and support programs, including medical, dental, vision, prescription coverage, short-term disability, 401(k), employee assistance, childcare assistance, discounts, paid holidays, and longevity bonuses. Benefits are based on assignment type, schedule, length of employment, and plan eligibility requirements.

We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.

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