Job Title: Revenue Cycle Specialist
Department: Revenue Cycle Management
Location:Ocean Bank (Le Jeune Rd)
Reports To: Revenue Cycle Manager

POSITION SUMMARY:

The Revenue Cycle Clerk plays a critical role in the Revenue Cycle Department, providing essential analytical and decision support to optimize revenue management. This position requires a strong background in healthcare insurance processes, bookkeeping, and experience working with Electronic Medical Record (EMR) systems. The ideal candidate will have a comprehensive understanding of billing, collections, denial management, and revenue cycle analysis to ensure accurate financial reporting and effective payment variance oversight.

QUALIFICATIONS:

• Bachelors degree in Accounting is required.
• Proven experience in healthcare insurance billing, collections, and denial management.
• Strong bookkeeping and accounting skills.
• Proficiency with Electronic Medical Record (EMR) systems.
• Bilingual fluency in English and Spanish is mandatory.
• Excellent analytical, organizational, and communication skills.
• Ability to work collaboratively in a team environment and independently as needed.

PREFERRED SKILLS:

• Experience working in a healthcare revenue cycle department.
• Familiarity with healthcare compliance standards and insurance policies.
• Strong attention to detail and problem-solving abilities.

• Provide analytical support and decision-making assistance to the revenue management team.
• Monitor and oversee payment variances, preparing detailed reports for the Revenue Cycle Management (RCM) team.
• Perform detailed revenue cycle analysis to identify trends, discrepancies, and opportunities for process improvements.
• Manage and resolve billing and collection issues, including denial management and appeals.
• Collaborate with various departments to ensure accurate billing, collections, and documentation within EMR systems.
• Maintain accurate bookkeeping records related to revenue cycle transactions.
• Ensure compliance with healthcare insurance regulations and policies.
• Assist in the preparation of financial reports and forecasts related to revenue cycle performance.
• Support continuous improvement initiatives within the revenue cycle processes.