Revenue Cycle Reimbursement Specialist II

tryonmedicalpartners; Charlotte (NC); On-site; USD 52,000 - 70,000; Full time

Job summary

Tryon Medical Partners in Charlotte, NC is seeking a Revenue Cycle Account Reimbursement Specialist II to process and optimize billing for office and hospital procedures. You will ensure accurate claim data entry, verify patient eligibility, and monitor payer responses to improve reimbursement and cash flow.

This is a full-time on-site role supporting the RCM team Monday through Friday, 8 am to 5 pm. Ideal candidates have at least two years in complex claim follow-up, knowledge of ICD-10/CPT

Qualifications

• Two or more years of complex claim follow-up in healthcare settings.
• Knowledge of medical terminology, ICD-10, and CPT codes.
• Strong computer skills; proficient in Word, Outlook, and Excel.
• Experience with EMR systems; AthenaHealth EMR a plus.
• Experience interpreting payor explanations of benefits.
• Excellent verbal communication and customer-service skills.
• Ability to manage time and organize daily schedule to meet productivity targets.
• High school diploma or equivalent; associate degree preferred.

Responsibilities

• Performs daily billing activities to ensure successful processing and payment of claims.
• Ensures claim information is complete and accurate for charge entry and data entry of demographic information.
• Verifies patient benefits, eligibility, and coverage for accurate billing.
• Audits completeness and accuracy of all claims prior to submission.
• Make necessary claim corrections to resolve payer edits and rejections.
• Reports billing changes and process improvements to RCM Leadership.
• Resolves patient cases via phone or written communication, processes virtual payments, refund requests, bankruptcies, and reconciliations.
• Ensures HIPAA compliance.
• Performs other duties within scope of responsibility.

Skills

Complex claim follow-up

ICD-10/CPT knowledge

MS Office Proficiency

EMR systems experience

AthenaHealth EMR experience

Payor benefits interpretation

Verbal communication

Time management

Education

High school diploma or equivalent

Associate degree in healthcare administration or related field (preferred)

Tools

AthenaHealth EMR

Microsoft Excel

Job description

Tryon Medical Partners in Charlotte, NC is seeking a Revenue Cycle Account Reimbursement Specialist II to process and optimize billing for office and hospital procedures. You will ensure accurate claim data entry, verify patient eligibility, and monitor payer responses to improve reimbursement and cash flow.

This is a full-time on-site role supporting the RCM team Monday through Friday, 8 am to 5 pm. Ideal candidates have at least two years in complex claim follow-up, knowledge of ICD-10/CPT