Revenue Cycle Management Specialist - COA Main/Arlington

Children's of Alabama; Hoover (AL); On-site; USD 45,000 - 65,000; Full time

Job summary

Children’s of Alabama seeks an experienced Revenue Cycle Management Specialist for our ENT practice. This role focuses on accurate billing, timely reimbursement, and proactive claim follow-up.

You will ensure clean claims, resolve denials, and participate in process improvements to optimize revenue cycle performance. Ideal candidates have 3+ years in ENT revenue cycle management and familiarity with CPT/ICD-10 coding.

Qualifications

• Three years of Otolaryngology revenue cycle management experience preferred.
• 1–2 years of physician office coding experience preferred.
• Knowledge of CPT, ICD-10, HCPCS coding and payer regulations required.
• Proficient with electronic health records (EHR); Epic experience is a plus.

Responsibilities

• Prepare, review, and submit clean claims.
• Monitor claims status and follow up on unpaid, denied, or underpaid claims.
• Investigate and resolve billing discrepancies and appeal denied claims.
• Assist with process improvements to enhance billing accuracy and revenue cycle performance.
• Communicate with families regarding physician office billing.

Skills

Attention to detail

Medical billing

Communication

Multitasking

Education

High school diploma

Associate degree or certification in Medical Billing or Healthcare Administration

Tools

Epic

Job description

Summary

We are seeking a detailed-oriented and experienced Revenue Cycle Management Specialist to join our growing ENT practice. This opportunity is essential to ensure accurate billing and timely reimbursement. The responsibilities include but not limited to prepare, review, and submit clean claims, monitor claims status and proactively follow up on unpaid, denied, rejected, or underpaid claims, investigate and resolve billing discrepancies, appeal denied claims, assist with process improvements opportunities to enhance billing accuracy and optimize revenue cycle performance. Professionally communicate with families regarding physician office billing.

Education

High school diploma graduate or equivalent; associate’s degree or certification in Professional Medical Billing or Healthcare Administration preferred.

Experience

Minimum of three years of Otolaryngology physician office revenue cycle management experience preferred. Minimum 1-2 years experience of physician office and outpatient surgical coding. Knowledge of CPT, ICD-10, HCPCS coding, insurance claims processing, and payer regulations required. Proficient with electronic health records (EHR); Epic experience is a plus.

Other

Ability to work efficiently in a fast-paced environment while maintaining accuracy, confidentiality, and professionalism. Strong communication, organization, and multitasking skills. Proficient in medical terminology and medical coding. Ability to work independently and with a group to support the needs of the practice.

About the practice

Since 1999, Pediatric ENT Associates has been providing comprehensive care for children across the Southeast. As the largest pediatric ENT group in Alabama, our team of six board certified physicians offer a wide range of pediatric ear, nose, and throat services including diagnosing and treatments for advanced hearing loss, congenital ear deformities, and vascular malformations. We offer specialized expertise in cochlear implants, bone-anchored hearing aids (BAHA) and the management of complex airway and sinus conditions. Our goal is to provide compassionate, family-focused care whether your child needs routine ENT care or advanced surgical intervention. Our mission, along with Children’s Hospital of Alabama, is to provide the finest pediatric health services to all children in an environment that fosters excellence in research and medical education. We provide care to patients at two convenient locations: Children’s of Alabama located in Birmingham, Alabama and Children’s South located off I-459 and Acton Road.

Schedule: 8:00 a.m. - 4:30 p.m., Day Shift, Monday-Friday Standard Days