Revenue Cycle Lead: Billing, Coding & AR

Fort Washington Medical Center; Gaithersburg (MD); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Free Employee parking

Medical, Prescription, Dental, Vision

Employer-paid Disability & Life

Paid Time Off

Retirement contribution and match

Tuition Reimbursement

EAP

Job summary

Adventist HealthCare is seeking a Sr. Revenue Cycle Specialist in Gaithersburg, MD. The role focuses on verifying and correcting insurance information, charges, and coding on electronic claims while ensuring adherence to payer guidelines.

You will handle appeals, backlogs, and follow-up on denials to optimize cash collection and efficiency. The position requires strong knowledge of CPT/HCPCS/ICD-10 coding, experience with EHR systems (eClinical Works preferred), and the ability to communicate

Qualifications

• Bachelor's or Associate degree in Finance, Business, Accounting or equivalent experience; 7 years in the field.

Responsibilities

• Verify and correct insurance information, charges and coding for electronic claims and manual billing.
• Ensure billing follows payer guidelines.
• Contact insurers regarding appeals status.
• Daily reconciliation and reduction of billing backlogs.
• Follow up on payment errors and denials.
• Review EOBs and initiate appeals as needed.
• Analyze metrics to identify improvement opportunities across billing operations.
• Coordinate with accounting for month-end financial reporting.

Skills

Billing & coding

Insurance follow-up

Customer service

Accounting understanding

Education

Bachelors or Associates in Finance, Business, Accounting or equivalent

Tools

eClinical Works

Job description

Adventist HealthCare is seeking a Sr. Revenue Cycle Specialist in Gaithersburg, MD. The role focuses on verifying and correcting insurance information, charges, and coding on electronic claims while ensuring adherence to payer guidelines.

You will handle appeals, backlogs, and follow-up on denials to optimize cash collection and efficiency. The position requires strong knowledge of CPT/HCPCS/ICD-10 coding, experience with EHR systems (eClinical Works preferred), and the ability to communicate