Billing & Revenue Cycle Optimization Specialist

Vanderbilt Health; Nashville (TN); Remote; USD 52,000 - 78,000; Full time

Job summary

Vanderbilt Health in Nashville is seeking a Revenue Cycle Billing Coordinator to help design and oversee billing procedures, ensuring accurate reimbursement and compliance across services.

You will train staff, monitor performance, and collaborate with insurance payers to resolve denials and optimize cash flow.

This role emphasizes process improvement, regulatory compliance, and delivering high-quality financial operations within a leading academic health system.

Qualifications

• High School Diploma or GED (Required).
• Relevant work experience in revenue cycle or medical billing.
• 3 years of experience in a related role.

Responsibilities

• Assist with designing, planning, and implementing billing procedures and systems to support new and existing services.
• Provide training and ongoing guidance to staff involved in billing and revenue cycle functions.
• Promote program growth and scalability to support organizational expansion.
• Handle claim processing, including payments, adjustments, refunds, denials, and outstanding balances from both patients and insurers.
• Acts as a point of contact between insurance providers, third-party payers, and administrative staff.
• Evaluates financial data to detect, reconcile, and resolve trends that lead to incorrect or missing reimbursements.
• Conducts comprehensive account audits and manages other complex tasks and projects.
• Performs additional duties as assigned, in accordance with the general scope of the role.

Skills

Revenue Cycle

Problem Solving

Communication of Results

Quality Assurance

Regulatory Compliance

Business Results

Education

High School Diploma or GED (Required)

Job description

Vanderbilt Health in Nashville is seeking a Revenue Cycle Billing Coordinator to help design and oversee billing procedures, ensuring accurate reimbursement and compliance across services.

You will train staff, monitor performance, and collaborate with insurance payers to resolve denials and optimize cash flow.

This role emphasizes process improvement, regulatory compliance, and delivering high-quality financial operations within a leading academic health system.