Revenue Cycle Specialist

Human Services Management Corporation; Milford (MA); Hybrid; USD 60,000 - 75,000; Full time

Job summary

Human Services Management Corporation (HSMC) is seeking a Revenue Cycle Specialist to support accurate billing, timely payments, and high-quality client service for nonprofit and human services organizations. The role emphasizes problem-solving, data work, and collaboration in a fast-paced environment.

You will post payments, reconcile cash, verify insurance, obtain prior authorizations, submit claims, and follow up on unpaid accounts while ensuring HIPAA compliance and alignment with

Qualifications

• At least 2 years of experience in billing, cash posting, or insurance verification.
• Experience with accounts receivable and electronic reimbursement systems.
• Proficiency with Microsoft Excel, EHRs, and practice management software.

Responsibilities

• Post payments, adjustments, and denials accurately to patient accounts.
• Reconcile daily and monthly cash receipts and resolve discrepancies.
• Verify insurance eligibility, benefits, and authorization requirements.
• Obtain and track prior authorizations to support timely billing.
• Prepare, review, and submit insurance claims accurately.
• Monitor outstanding claims and follow up on unpaid accounts.
• Partner with Billing, Collections, Intake, and client teams to resolve reimbursement issues.
• Maintain compliance with HIPAA and organizational policies.

Skills

Organizational skills

Analytical skills

Communication skills

Attention to detail

Tools

Excel

EHRs

Practice management software

Job description

Human Services Management Corporation (HSMC) is a mission-driven organization that provides business and operational support services to nonprofit and human services agencies. Since 1990, HSMC has helped organizations serving children, adults, and families focus on what matters most: delivering quality care and support in their communities. Through trusted expertise and operational support, HSMC helps strengthen the client organizations we serve, empowering them to make a meaningful difference in the lives of individuals, families, and communities.

Job Description

We're looking for a Revenue Cycle Specialist to join our team. In this role, you'll help ensure accurate billing, timely payment processing, and exceptional support for our client organizations. If you enjoy problem-solving, working with data, and collaborating with others in a fast-paced environment, we'd love to hear from you.

What You'll Do

• Post payments, adjustments, and denials accurately to patient accounts.
• Reconcile daily and monthly cash receipts and resolve discrepancies.
• Verify insurance eligibility, benefits, and authorization requirements.
• Obtain and track prior authorizations to support timely billing.
• Prepare, review, and submit insurance claims accurately.
• Monitor outstanding claims and follow up on unpaid accounts.
• Partner with Billing, Collections, Intake, and client teams to resolve reimbursement issues.
• Maintain compliance with HIPAA and organizational policies.

Qualifications

• At least 2 years of experience in billing, cash posting, or insurance verification
• Experience with accounts receivable and electronic reimbursement systems.
• Proficiency with Microsoft Excel, EHRs, and practice management software.
• Strong organizational, analytical, and communication skills with excellent attention to detail

*Please note that this is a hybrid position requiring (3) days per week in the office (Milford).

Additional Information

Please visit our website at www.hsmc.org to learn more about our organization!

Selection for employment is made regardless of race, color, religion, creed, sex, sexual orientation, gender identity/expression, pregnancy or pregnancy-related condition, marital status, national origin, ancestry, age, disability, handicap, genetic information, someone who is a member of, applies to perform, or has an obligation to perform, service in a uniformed military service of the United States, including the National Guard, on the basis of that membership, application or obligation; veteran status, or any other bases protected by law. HSMC participates in E-Verify.

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