Revenue Cycle Medical Billing Specialist

Piedmont Health Services, Inc.; Durham (NC); On-site; USD 24,000 - 33,000; Full time

Benefits offered by this job

Medical, Dental, Vision, Life

403(b) Plan

Paid Holidays

CME

Job summary

Piedmont Health Services, Inc. is seeking a Revenue Cycle Billing Specialist/Lead Revenue Cycle Analyst to support efficient billing operations at our Durham, NC location. The role covers front-end claim status management, back-end data analysis, and collaboration with leadership to optimize revenue processes.

Ideal candidates will have a high school diploma and at least one year of healthcare billing or revenue cycle experience, with strong communication and attention to detail.

Qualifications

• High school diploma or equivalent.
• One year of analyst experience in revenue cycle, data, financial, billing, or healthcare.
• Strong communication, interpersonal, and problem-solving skills.

Responsibilities

• Manage initial billing statuses to ensure accuracy and timeliness of claim submissions.
• Review, flag missing charges, approve/refile claims, and address file rejects.
• Create/analyze queries to identify revenue trends and report findings to leadership.

Skills

Revenue cycle

Data analysis

Billing

Customer service

Education

High school diploma

Job description

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Revenue Cycle Billing Specialist

Revenue Cycle Department

Lead Revenue Cycle Analyst

Benefits

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position

The Revenue Cycle Medical Billing Specialist is responsible for performing a variety of duties related to the efficient and service-oriented revenue operations at our healthcare organization. The Front-End is responsible for managing the initial billing statuses of claims to ensure accuracy and timeliness in the claim submission process. This role includes reviewing and flagging providers for missing charges, approving and/or refiling claims, and addressing file rejects. The Back End requires the Analyst to create/analyze queries to identify and interpret revenue trends. Resolve financial discrepancies and report to Department Leadership discoverable errors and findings in a timely manner.

• Work Location: 2525 Meridian Parkway - Suite 400, Durham, NC 27713
• Schedule: Monday through Friday, 8:00am - 5:00pm

Qualifications

Education: High school diploma or equivalency required

Preferred Experience: One year of experience as an Analyst (revenue cycle, data, financial, billing, etc.) for a healthcare organization. Must possess customer service key competencies. Excellent communication, interpersonal, analytical and problem-solving skills. Strong attention to detail and accuracy. Ability to successfully work independently and in collaborative environments. Great interpersonal skills – communicates well orally and in writing. Maintains professionalism in stressful moments.

Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.

Pay Range

$17.66/Hourly - $23.74/Hourly(commensurate with years of experience)

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.