Revenue Cycle Specialist

CCS Medical; Farmers Branch (TX); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Paid time off (vacation and holidays)

Ongoing training and professional development

Wellness programs and mental health support

Remote or hybrid work options

Job summary

CCS Medical in Farmers Branch, Texas is seeking a Revenue Cycle Specialist to manage claim submissions and resolutions for patients. Candidates should have at least two years of experience in medical billing and collections.

This role offers competitive salary, comprehensive medical benefits, and opportunities for remote or hybrid work. The ideal applicant will demonstrate strong analytical, organizational, and communication skills while adhering to confidentiality standards.

Qualifications

• Minimum of two years of medical billing/collections experience.
• Ability to work within a team and as an individual contributor.
• Self-directed with little supervision.

Responsibilities

• Manage claim submissions and resolutions for CCS Medical patients.
• Audit supply configurations based on documentation.
• Initiate appeals for denied claims and resolve issues.

Skills

Medical billing and collections experience

Knowledge of reimbursement processes

Organizational skills

Analytical skills

MS Office proficiency

Excellent communication skills

Education

High school diploma or GED

Job description

Overview

Are you looking for a purposeful career that will make a difference in the patient community? At CCS, our approach to at‑home patient care is redefining chronic care management. We are seeking individuals that will thrive in a patient‑centric dynamic environment. If you are an attentive listener, fast‑thinker, and problem‑solver, with the ability to relate to different people, you are a match for CCS.

As a Revenue Cycle Specialist, you will be responsible for claim submission and claim resolution for CCS Medical patients regarding governmental, commercial insurance companies and patient accounts.

Residents of Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New York, North Dakota, Rhode Island, South Dakota, Vermont, Washington, and Wyoming are not eligible.

Responsibilities

• Work individual portfolio of accounts from CCS Medical billing/collection system.
• Assess insurance reimbursement for individual supplies to ensure maximum reimbursement.
• Verify that all appropriate supporting documentation are obtained prior to shipment and/or prior to billing.
• Audit configuration of supplies based on supporting documentation, formulary requirements and manufacturer compatibility.
• Post payments and/or adjustments to individual accounts.
• Resolve credit balance accounts as needed.
• Identify problems or improvements within own area, develop resourceful and alternative solutions for work improvement or problem solution.
• Research and follow up on all correspondence associated with assigned accounts, including EOBs and documentation letters, and generate correspondence requesting required information when necessary.
• Initiate appeals and ensure all required documentation is submitted in the appeals process; research all denials and follow up as necessary.
• Receive inbound and place outbound calls to/from insurance companies and patients to collect outstanding funds.
• Reduce delinquent accounts and achieve maximum collections from all sources.
• Produce reports identifying trends or problem carriers, identify areas of concern, and present ideas to correct or prevent future issues.
• Analyze and correct accounts receivable problems.
• Document all activities as completely as possible.
• Achieve productivity goals based on accounts touched, dollars collected, and aging period.
• Report any problems to the attention of management.
• Maintain a high degree of confidentiality at all times due to access to sensitive information.

Qualifications

• High school diploma or GED equivalent.
• Minimum of two years of medical billing/collections experience; must be knowledgeable of reimbursement processes and procedures.
• Ability to work with other employees and provide assistance as needed.
• Proficient in basic PC skills (MS Office).
• Organized work habits, accuracy, and proven attention to detail, with strong analytical skills.
• Ability to work within a team setting and as an individual contributor.
• Excellent oral and written communication skills.
• Self‑directed with the ability to work with little or no supervision.
• Flexible and cooperative in fulfilling all obligations.
• Ability to interpret rules and regulations set by Medicare, Medicaid, and commercial payors.
• Willingness to learn and grow as the company expands and changes.
• Ability to recommend and implement changes to processes for efficiency.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; write routine reports and correspondence; and speak effectively before groups of customers or employees of the organization.

Benefits

• Competitive Salary
• Bonus/Incentive Opportunities/commission (if applicable)
• Comprehensive Benefits:
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Paid time off (vacation and holidays)
• Growth & Development:
  • Ongoing training and professional development
• Work‑Life Balance:
  • Remote or hybrid work options
  • Wellness programs and mental health support

EEO Statement

CCS Medical is an EEOC/AA employer. M/F/D/V.