Hybrid Revenue Cycle Specialist II: Claims & Denials Pro

University Hospitals; Shaker Heights (OH); Hybrid; USD 48,000 - 64,000; Full time

Job summary

University Hospitals in Ohio seeks a Revenue Cycle Specialist II to manage complex medical claim submissions and follow-ups. You will work across inpatient and outpatient claims, ensuring compliant billing and prompt resolution with payers.

The role emphasizes accuracy, confidentiality, strong communication, and collaboration with management and clinical staff in a fast-paced, hybrid environment.

Qualifications

• Must submit and resolve medical claims with moderate to high complexity.
• Knowledge of governmental and third-party billing, follow-up, and appeal requirements.

Responsibilities

• Responds to management, staff, or physicians promptly.
• Protect patient and physician confidentiality and professionalism.
• Follow policies to ensure accurate claim resolution.
• Communicate with patients and insurers to resolve issues.
• Review account balances and collect payments.
• Use multiple systems to update patient information and research AR.
• Assist in claims resolution analysis and implement improvements.
• Follow up with insurers to ensure payment and appeals where needed.
• Lead on special projects and participate in staff training.

Skills

UB04/HCFA 1500

ICD10 coding

Billing terminology

Analytical thinking

Client service

Team player

Written/Verbal comms

MS Office

Education

High School Diploma

Associate's Degree preferred

Bachelor's Degree preferred

Tools

Medical billing software

Job description

University Hospitals in Ohio seeks a Revenue Cycle Specialist II to manage complex medical claim submissions and follow-ups. You will work across inpatient and outpatient claims, ensuring compliant billing and prompt resolution with payers.

The role emphasizes accuracy, confidentiality, strong communication, and collaboration with management and clinical staff in a fast-paced, hybrid environment.