Billing Specialist (RCM/ECW Experience)

Medusind; Miami (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

Medusind is seeking a Billing Specialist to optimize accounts receivable processes in a healthcare setting, focusing on maximizing cash flow and strengthening client relations. The role requires experience in AR, RCM, and familiarity with health center operations, including credentialing and payer regulations.

The ideal candidate will have 3–5+ years in AR/RCM, a Bachelor's degree in a relevant field, and strong analytical skills to monitor KPIs, generate reports, and drive continuous

Qualifications

• 3–5+ years in accounts receivable or revenue cycle management.
• Experience with credentialing and health center operations.
• Proficiency with AR tracking analytics and HIPAA/regulations.
• Bachelor’s degree in Business/Finance/Healthcare admin or related field.

Responsibilities

• Oversee end-to-end billing, invoicing, and timely cash collection.
• Identify workflow improvements to reduce processing time.
• Serve as a point of contact for complex billing inquiries and disputes.
• Prepare AR reports and monitor KPIs and SLAs.
• Analyze AR trends to drive continuous improvement.

Skills

Accounts receivable

Revenue cycle management

Data analytics

HIPAA knowledge

Attention to detail

Cross-functional collaboration

Education

Bachelor’s degree in Business, Finance, Healthcare Administration or related field

Tools

RCM platforms

Workflow automation tools

ECW

Data analytics tools

Job description

Medusind is a leading provider of revenue cycle management solutions to medical, dental, behavioral health, anesthesia, pathology, emergency, surgery, radiology, and other specialties. In January 2023, Alpine Investors, a people-driven private equity firm, invested in Medusind to continue to advance its leadership position as one of the top revenue cycle management companies in the country.

Position Overview

The Billing Specialist performs a variety of account receivable functions to ensure the maximization of cash flow, while improving customer service, client relations, and achievement of key metrics. They are responsible for following up on submitted claims and the overall billing process. The Ideal candidate for this role will have experience in both FQHC, and Community Health Centers.

Operations

Key Responsibilities:

• End-to-end billing process, including accurate invoicing, documentation, and timely payment collection.
• Identify and implement improvements in billing workflows to reduce processing time, eliminate errors, and enhance efficiency. Recommend system or process upgrades to improve speed and accuracy.
• Serve as a point of contact for complex billing inquiries, issues, and disputes that require advanced problem-solving or technical expertise.

Reporting & Analytics

• Prepare, analyze and present accounts receivable reports, and daily, weekly, and monthly financial reports.
• Monitor KPIs, SLAs, month-to-date targets, and productivity.
• Present findings to management on a daily, weekly, monthly, and quarterly basis.

Continuous Improvement

• Analyze trends in AR issues, think strategically to enhance revenue cycle operations, and make confident decisions under pressure to drive continuous improvement.
• Assist in initiatives aimed at improving billing accuracy, timeliness, and efficiency through process enhancements and automation.

Requirements

• Educational Background: Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (preferred).
• Experience: 3-5+ years of experience in accounts receivable, revenue cycle management. Familiarity with credentialing, and other health center operations.
• Expert Industry Knowledge: Proficiency in revenue cycle management platforms, workflow automation tools, and data analytics for AR tracking. Knowledge of HIPAA, Medicare, Medicaid, and payer regulations.
• Collaboration & Communication: Ability to work independently and collaborate with cross-functional teams.
• Detail-Oriented: High level of accuracy, with the ability to set and maintain priorities in a fast-paced environment.

Preferred

• FQHC, or experience with Community Health Centers.
• Experience working in ECW.