Revenue Cycle Specialist: Claims & Denials Expert

Barrow-Brain-and-Spin; Phoenix (AZ); On-site; USD 45,000 - 60,000; Full time

Job summary

Barrow-Brain-and-Spin is seeking a Revenue Cycle Specialist to manage and resolve outstanding claims, ensuring timely processing within weekly workflows and strict adherence to compliance. The role emphasizes high-dollar and oldest claims, payer communications, and documentation of all activities to minimize delays.

Responsibilities include workflow optimization, processing denials, and assisting with appeals.

Qualifications

• Two years prior experience in a private practice or hospital billing/business office preferred.
• Experience with CPT, ICD-10 and modifier coding preferred.
• Knowledge of insurance payer contracts and denial management.

Responsibilities

• Manage and resolve outstanding claims within defined timeframes.
• Prioritize high-dollar and oldest claims and follow up with payers.
• Document all claim activities and maintain records of communications.
• Adhere to compliance, accuracy, and timely appeals and resubmissions.
• Communicate effectively with payers and internal staff to resolve issues.

Skills

Claims management

Payer communications

Documentation

Compliance and QA

Workflow optimization

Team collaboration

Education

High school diploma or GED

Tools

Practice management system

Job description

Barrow-Brain-and-Spin is seeking a Revenue Cycle Specialist to manage and resolve outstanding claims, ensuring timely processing within weekly workflows and strict adherence to compliance. The role emphasizes high-dollar and oldest claims, payer communications, and documentation of all activities to minimize delays.

Responsibilities include workflow optimization, processing denials, and assisting with appeals.