Revenue Cycle Specialist

Hsmc1; Milford (MA); Hybrid; USD 52,000 - 78,000; Full time

Job summary

HSMC in Milford, MA is seeking a Revenue Cycle Specialist to support accurate billing, payments, and client service. The role blends in-office collaboration with remote work flexibility in a hybrid model.

You will reconcile cash, verify eligibility, obtain authorizations, submit claims, and monitor denials, working with Billing and Collections teams to optimize reimbursement. This position requires a high school diploma and at least 2 years in billing, with proficiency in Excel, EHRs, and

Qualifications

• High school diploma or equivalent required.
• Associate degree preferred.
• 2+ years of experience in billing, cash posting or insurance verification.

Responsibilities

• Post payments, adjustments, and denials 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

Billing

Cash posting

Insurance verification

Education

High school diploma or equivalent

Associate degree preferred

Tools

Excel

EHR systems

Practice management software

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.

High school diploma or equivalent required; Associate degree preferred.

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).

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.