Facilities Revenue Cycle Specialist

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Facilities Revenue Cycle Specialist in the United States.

This role plays a key part in managing and optimizing the revenue cycle process for facility-based healthcare claims, ensuring accurate billing, timely reimbursement, and compliance with payer and regulatory requirements. You will work across multiple stages of accounts receivable, analyzing outstanding claims, identifying issues, and proactively driving resolution to maximize client performance. The position requires close collaboration with internal operational teams and external payers to ensure smooth communication and effective issue resolution. You will also contribute to invoice preparation, claims monitoring, and performance reporting while maintaining strong adherence to service level agreements. Operating in a detail-oriented, fast-paced environment, you will apply analytical thinking to improve revenue cycle outcomes. This is a full-time role within a structured healthcare operations setting where accuracy, compliance, and responsiveness are essential.

In this role, you will manage facility claims across the revenue cycle while ensuring compliance, accuracy, and optimal reimbursement outcomes for assigned clients.

• Review, process, and manage facility claims at various stages of the revenue cycle to ensure timely and accurate reimbursement
• Monitor and analyze outstanding accounts receivable, identifying issues and recommending solutions to improve client performance
• Initiate and maintain communication with facility payers to resolve claim deficiencies and prevent future billing issues
• Prepare, review, and issue facility invoices on a scheduled or ad hoc basis in accordance with client requirements
• Maintain payer and facility contact lists to support efficient communication and issue resolution
• Collaborate with supervisors and revenue cycle management teams to prioritize work and ensure adherence to SLAs and compliance standards
• Track performance metrics, support reporting needs, and contribute to ongoing process improvement initiatives
• Provide backup support to team members and assist with additional operational tasks as needed

Requirements:

This role requires experience in healthcare claims processing or revenue cycle operations, combined with strong analytical and organizational skills.

• High school diploma required; additional healthcare billing or revenue cycle training preferred
• 1–2 years of experience in health insurance claims processing, denials management, or healthcare accounts receivable
• Strong understanding of facility billing practices, payer systems, and consolidated billing guidelines preferred
• Knowledge of HIPAA regulations, Medicare, Medicaid, and insurance reimbursement methodologies
• Excellent attention to detail with strong critical thinking and analytical abilities
• Ability to manage multiple priorities, meet deadlines, and work in a fast-paced environment
• Strong communication and interpersonal skills for coordination with internal teams and external payers
• Proficiency in Microsoft Office tools (Excel, Word, Outlook, etc.)
• Self-starter mindset with adaptability and commitment to continuous improvement
• Ability to work both independently and collaboratively in a cross-functional environment

Benefits:

This position offers a competitive hourly rate and a comprehensive benefits package designed to support employee well-being and long-term growth.

• Hourly pay range of $17.00–$20.00, based on experience and qualifications
• Eligibility for discretionary bonus program
• Comprehensive benefits package including health, dental, and vision coverage
• Retirement plan options
• Paid time off and holiday benefits
• Structured training and professional development opportunities
• Supportive work environment with accommodations available as needed
• Exposure to a stable healthcare operations environment with career growth potential