Part-Time RCM Specialist: Revenue Cycle & Billing Lead

University of the Pacific; Stockton (CA); On-site; USD 47,000 - 56,000; Part time

Job summary

University of the Pacific is seeking a part-time Revenue Cycle Management (RCM) Specialist to oversee pre-date of service and medical billing for its San Francisco and Sacramento locations. The role coordinates with the outsourced billing vendor, handles insurance verification, authorizations, and patient estimates, and manages credentialing and payer participation.

The ideal candidate has 3+ years in healthcare revenue cycle, with strong communication skills and the ability to travel between SF

Qualifications

• High school diploma or GED required.
• 3+ years of healthcare revenue cycle experience preferred in ASC, dental/oral surgery, or surgical setting.
• Experience with insurance verification, benefits investigation, prior authorization, credentialing, patient financial counseling, and healthcare collections.

Responsibilities

• Oversee pre-date of service patient collections and ensure amounts are documented.
• Coordinate with outsourced billing/RCM vendor; monitor claims, A/R, denials, timely filing, and collections.
• Manage credentialing, payer enrollment/participation, and maintenance of credentialing files.
• Direct duties of business office staff; recruit, train, and manage staff as volume grows.
• Monitor aging, denials, timely filing risks, unworked claims, payments, and revenue leakage.

Skills

Revenue cycle

Insurance verification

Benefits investigation

Prior authorization

Credentialing

Patient financial counseling

Healthcare collections

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

University of the Pacific is seeking a part-time Revenue Cycle Management (RCM) Specialist to oversee pre-date of service and medical billing for its San Francisco and Sacramento locations. The role coordinates with the outsourced billing vendor, handles insurance verification, authorizations, and patient estimates, and manages credentialing and payer participation.

The ideal candidate has 3+ years in healthcare revenue cycle, with strong communication skills and the ability to travel between SF