Revenue Cycle Specialist

Remote Jobs; Norwood (OH); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

PTO

401k with employer match

Ongoing training and certification

Comprehensive benefits package

Tuition reimbursement after 1 year

Job summary

BrightView Health is seeking a Revenue Cycle Specialist to support end-to-end medical billing for physician and clinic claims. You will submit claims to third-party carriers, secure documentation, and monitor payment progress while ensuring accurate coding and billing practices.

The role requires attention to detail, proactive communication with insurers and staff, and a commitment to regulatory compliance within a collaborative, growth-focused environment.

Qualifications

• High School Diploma or equivalent required.
• Self-motivated and self-directed.
• Proficient in Microsoft Office; knowledge of billing software preferred.
• Bachelor's degree in accounting, health care administration, finance, business, or related field preferred.
• 2 years previous experience as a medical biller or in a related healthcare administrative position preferred.

Responsibilities

• Prepare and submit physician and clinic claims to third party insurance carriers either electronically or by hard copy billing.
• Secure needed medical documentation required or requested by third party insurances.
• Follow up with third party insurance carriers on unpaid claims or remaining self-pay balances.
• Process rejections by correcting billing errors and resubmitting claims to insurers.
• Collaborate with physicians or medical records staff to ensure correct diagnosis/procedures are reported.
• Maintain documentation and charge entry of patient charges; stay updated on billing changes.
• Monitor claims for missing information and authorization/control numbers.
• Support clinic mission, standards, policies, confidentiality, and ethical behavior.
• Maintain third party billing logs and ensure regulatory compliance.

Skills

Self-motivated

Self-directed

Proficient computer skills

Education

High School Diploma or equivalent

Bachelor's degree in accounting, health care administration, finance, business, or related field preferred

Tools

Microsoft Office

Billing software

Job description

Overview

Do you want to use your multitasking skills in a rewarding career? Are you able to learn quickly and work under tight guidelines? Start helping patients and their families step into a brighter future with this Revenue Cycle Specialist position.

As a member of our team, you have the opportunity to grow alongside a company that invests back in you. BrightView Health is a collaborative culture where it is understood that great ideas come from diverse perspectives, and you will have the opportunity to develop your skills through continuing education opportunities offered and share your ideas for the future of BrightView Health. Plus, you have the support of a compassionate team that believes in working together and helping you succeed.

Responsibilities

• Prepare and submit physician and clinic claims to third party insurance carriers either electronically or by hard copy billing.


• Secure needed medical documentation required or requested by third party insurances.


• Follow up with third party insurance carriers on unpaid claims are paid or only self-pay balance remains.


• Process rejections by making accounts private and generating a letter of rejection to patient or correct any billing errors and resubmit claims to third party insurance carriers.


• Work with physician or medical record staff to ensure correct diagnosis/procedures are reported to third party insurance carriers.


• Ensure proper documentation and charge entry of patient charges. Keep updated on all billing and insurance changes for third party insurance carriers.


• Monitor claims for missing information and authorization/control numbers.


• Demonstrate knowledge of and support clinic mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.


• Maintain third party billing logs.


• Assure documentation is in compliance with regulatory agency requirements and best practices.

Qualifications

• High School Diploma or equivalent required


• Self-motivated and self-directed


• Proficient computer skills including Microsoft Office and knowledge of billing software preferred


• Bachelor's degree in accounting, health care administration, finance, business, or related field preferred


• 2 years previous experience as a medical biller or in a related healthcare administrative position preferred

BENEFITS AND PERKS:

• PTO (Paid Time Off)


• Immediately vested and eligible in 401k program with employer match.


• Company sponsored ongoing training and certification opportunities.


• Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.


• Tuition Reimbursement after 1 year in related field

We offer competitive compensation, comprehensive benefits, and a supportive work environment dedicated to your professional growth and development.

Ready to shape our future by bringing in top talent?