Revenue Cycle Coordinator/Specialist

40 Dreams Catering LLC; Westfield (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

THRIVE by 40 Dreams Catering is seeking a Revenue Cycle Specialist II to support the full revenue cycle in a Medicaid billing environment. You will handle claims submission, payment posting, AR, denials, and payer follow-up, with emphasis on accuracy and compliance.

You will also work with EMR billing workflows, generate reports, develop dashboards, and support data entry and staff as needed. Strong Excel skills and attention to HIPAA and NJ Medicaid guidelines are essential.

Qualifications

• Strong communication skills required for collaboration with teams and payers.
• Advanced analytical and problem-solving abilities are essential for revenue-cycle improvements.
• Proven organizational skills and ability to manage deadlines across multiple tasks.
• Comprehensive knowledge of CPT/HCPCS/ICD-10 and billing procedures.

Responsibilities

• Submit accurate claims to Medicaid and commercial payers.
• Maintain AR aging within organizational benchmarks.
• Post payments and reconcile billing activity.
• Resolve claim denials, rejections, and payment discrepancies.
• Monitor accounts receivable and follow up on unpaid or underpaid claims.
• Track billing performance and reimbursement trends.

Skills

Strong communication skills

Analytical thinking

Organizational skills

Deadline management

Education

High School diploma

Associate degree

Bachelor’s in Healthcare Admin/Finance/Business

Tools

Excel

EMR billing

Job description

About the Company

THRIVE by 40 Dreams Catering is a dedicated senior meal prep company focused on providing nutritious, high-quality meals to our community's elders. We ensure our seniors receive the care and flavor they deserve through consistent, healthy food service. We are looking for team members who are passionate about service, hospitality, and making a meaningful impact through the power of a great meal.

Job Description

The Revenue Cycle Specialist II supports the full revenue cycle in a Medicaid insurance billing environment, including claims submission, payment posting, accounts receivable, denial resolution, and payer follow-up. This role is responsible for improving reimbursement accuracy, maintaining billing compliance, and supporting cash flow through strong reporting, analysis, and process improvement. This position also supports EMR billing workflows, monitors revenue cycle performance, and may oversee data entry and administrative support staff.

Key Responsibilities

Billing & Revenue Cycle

1. Submit accurate claims to Medicaid and commercial payers.
2. Maintain AR aging within organizational benchmarks.
3. Post payments and reconcile billing activity.
4. Resolve claim denials, rejections, and payment discrepancies.
5. Monitor accounts receivable and follow up on unpaid or underpaid claims.

Reporting & Analysis

Track billing performance, denials, and reimbursement trends.

Identify root causes and recommend process improvements.

Use Excel (including Pivot Tables) for reporting, reconciliation, and trend analysis.

Build and maintain AR tracking dashboards and revenue cycle reports.

EMR & Compliance

1. Maintain accurate billing, insurance, and client data in the EMR.
2. Maintain complete and accurate billing documentation.
3. Ensure compliance with payer guidelines, HIPAA, and New Jersey Medicaid requirements
4. Support EMR billing workflows, audits, and system updates.

Collaboration

Partner with leadership, finance, and administrative teams to resolve billing issues.

May oversee data entry and administrative support staff.

Support staff on billing workflows and documentation requirements.

Qualifications & Requirements

3+ years of revenue cycle experience required.

Reliable commute to Westfield, NJ.

Strong communication skills.

Advanced Excel skills required, including: Pivot tables, AR tracking dashboards, reporting & trend analysis

3+ years of EMR billing workflow or implementation experience required.

Strong analytical, organizational, and problem-solving skills.

Working knowledge of CPT, HCPCS, and ICD-10 coding.

Strong knowledge of billing, AR, collections, and denial management.

Ability to manage deadlines and multiple priorities.

5+ years of healthcare billing experience preferred.

Preferred Education & Credentials

1. High School diploma with strong relevant experience is acceptable.
2. Associate’s Degree preferred.
3. Bachelor’s Degree in Healthcare Administration, Finance, Business, or related field preferred.

Preferred certifications include:

1. CPB – Certified Professional Biller
2. CPC – Certified Professional Coder
3. CRCR – Certified Revenue Cycle Representative
4. CHFP – Certified Healthcare Financial Professional