Hybrid Revenue Cycle Specialist - Billing & Insurance

Human Services Management Corporation; Milford (MA); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Human Services Management Corporation (HSMC) is seeking a Revenue Cycle Specialist to support accurate billing, timely payments, and high-quality client service for nonprofit and human services organizations. The role emphasizes problem-solving, data work, and collaboration in a fast-paced environment.

You will post payments, reconcile cash, verify insurance, obtain prior authorizations, submit claims, and follow up on unpaid accounts while ensuring HIPAA compliance and alignment with

Qualifications

• At least 2 years of experience in billing, cash posting, or insurance verification.
• Experience with accounts receivable and electronic reimbursement systems.
• Proficiency with Microsoft Excel, EHRs, and practice management software.

Responsibilities

• Post payments, adjustments, and denials accurately to patient accounts.
• Reconcile daily and monthly cash receipts and resolve discrepancies.
• Verify insurance eligibility, benefits, and authorization requirements.
• Obtain and track prior authorizations to support timely billing.
• Prepare, review, and submit insurance claims accurately.
• Monitor outstanding claims and follow up on unpaid accounts.
• Partner with Billing, Collections, Intake, and client teams to resolve reimbursement issues.
• Maintain compliance with HIPAA and organizational policies.

Skills

Organizational skills

Analytical skills

Communication skills

Attention to detail

Tools

Excel

EHRs

Practice management software

Job description

Human Services Management Corporation (HSMC) is seeking a Revenue Cycle Specialist to support accurate billing, timely payments, and high-quality client service for nonprofit and human services organizations. The role emphasizes problem-solving, data work, and collaboration in a fast-paced environment.

You will post payments, reconcile cash, verify insurance, obtain prior authorizations, submit claims, and follow up on unpaid accounts while ensuring HIPAA compliance and alignment with