Revenue Cycle Specialist: Billing & Denials

North Mississippi Medical Center, Inc; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

North Mississippi Health Services is seeking a Revenue Cycle Coordinator to optimize bill processing and denial management across payer contracts. You will support timely revenue flow, analyze denials, and coordinate with payers, vendors, and hospital staff to improve payment capture.

The role requires strong analytical, organizational, and communication skills, with experience in billing follow-up, contract management, and reporting.

Qualifications

• Ability to research, analyze and communicate payer trends to identify reimbursement and training issues; required
• Excellent analytical and problem-solving skills
• Good organizational and communication (written and verbal) skills
• Excellent interpersonal skills
• Must professionally and effectively communicate with third party carriers, vendors, and hospital contacts to promote contractual compliance
• Must provide input and help design payer report cards in conjunction with contracting, managed care, and other revenue cycle departments
• Must participate as member of the Denials Committee
• Must conduct training sessions with Billing and Follow-up staff as needed
• Must have effective negotiating skills including the ability to resolve difficult claims issues
• Must be able to gather and share information with knowledge, tact, and diplomacy
• Must have extensive contact with: patients, payers, physician office staff, coding staff, Credentialing, Case Management, various Department heads, and all staff within the department

Responsibilities

• Billing & Follow Up: Processes billing by receiving, interpreting, processing, and submitting through edits to third party payors electronically and in hard copy.
• Billing follow up: contact payers or use portals to determine payment expectations and resolve issues.
• Denial Management: manage denial receivable and develop strategy for appeals and reprocessing.
• Contract Management: communicate with NMHS staff and manage paid claims to resolve underpayments; analyze underpayments.
• Communication: communicate with third party carriers, vendors, and hospital contacts to promote contractual compliance.
• Liaison: contact insurance companies regarding denial, underpayments or rejection issues; act as liaison between payers and hospital departments.
• Reporting: assist in preparation of monthly denial and variance reports.
• Regulation: adhere to policies and comply with local/state/federal regulations.

Skills

Payer trends analysis

Analytical problem-solving

Organizational and communication

Interpersonal skills

Negotiation skills

Training ability

Stakeholder management

Tools

Microsoft Office

Outlook

Payer portals

Job description

North Mississippi Health Services is seeking a Revenue Cycle Coordinator to optimize bill processing and denial management across payer contracts. You will support timely revenue flow, analyze denials, and coordinate with payers, vendors, and hospital staff to improve payment capture.

The role requires strong analytical, organizational, and communication skills, with experience in billing follow-up, contract management, and reporting.