Revenue Cycle Specialist | Full-Time | Ophthalmology Clinic

Page Mechanical Group, Inc.; Philadelphia (Philadelphia County); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Retirement plan

Tuition assistance

Paid time off

Employee assistance programs (EAPs)

Job summary

Wills Eye Hospital in Philadelphia, PA is seeking a Revenue Cycle Specialist to manage end-to-end inpatient claims, ensuring timely submissions and accurate reimbursements. This full-time role focuses on optimizing the organization’s revenue cycle within a fast-paced clinical environment.

You will collaborate with the Business Office and clinical departments to resolve denials, verify payer information, and maintain compliant billing practices.

Qualifications

• High school diploma or GED is required.
• 1–2 years of healthcare revenue cycle experience in a hospital setting.
• Knowledge of CPT, HCPCS, APC, ASC, DRG and ICD-10.
• Strong proficiency in Microsoft Excel.
• Clear written and verbal communication skills.
• Knowledge of State and Federal healthcare guidelines and regulations.
• Experience reviewing outstanding balances for Medicare, Medicaid, and Commercial payors.
• Excellent time management and organizational skills.
• Ability to work with minimal supervision and meet performance goals.

Responsibilities

• Prepares and submits billing data and medical claims to insurance companies, ensuring accurate coding.
• Ensure the patient’s medical information is accurate and up to date.
• Report trends in denied claims or payment discrepancies to Business Office management.
• Accurately bills inpatient medical claims within established timelines and initiates dialog with payors, patients and departments.
• Reviews billing documents for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc.). Clearing all edits necessary for clean claim submission.
• Understands payor contracts and can apply calculations to resolve under/overpayments.
• Other duties assigned.

Skills

Healthcare revenue cycle

Microsoft Excel

Communication skills

Time management

Attention to detail

Regulatory knowledge

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Cerner

NextGen Practice Management

Job description

Wills Eye Hospital is hiring a Revenue Cycle Specialist in Philadelphia, PA (this is NOT a remote position). In this role, you’ll be responsible for providing top-notch billing services while ensuring accuracy and efficiency in managing inpatient claims. This is a Full-Time 40 Hours per week opportunity for someone who wants to use problem-solving and healthcare knowledge to directly impact the organization’s financial performance while becoming an expert in the complex revenue cycle and insurance process

Why Join Wills Eye

At Wills Eye Hospital, you’ll be part of a nationally recognized leader in ophthalmology and vision care. We are known for clinical excellence, innovation, and patient-centered care.

We offer:

• Competitive compensation and benefits such as medical, dental, and vision plans, retirement plan, tuition assistance, paid time off, and employer assistance programs (EAPs)

• Opportunities for training, certification, and career growth

• A collaborative, mission-driven clinical environment

• Access to advanced technology and specialized care teams

In this role, you’ll support patients, clinical departments, and the Business Office by ensuring claims are accurate, submitted timely, and reimbursed appropriately. You’ll manage the end-to-end resolution of assigned medical claims and patient accounts, with a focus on getting claims paid accurately and on time.

You’ll be successful if you enjoy working in a fast-paced clinical environment, have strong attention to detail, and value patient interaction.

Key Responsibilities

• Prepares and submits billing data and medical claims to insurance companies, ensuring accurate coding.

• Ensure the patient’s medical information is accurate and up to date.

• Report trends in denied claims or payment discrepancies to Business Office management.

• Accurately bills inpatient medical claims within established timelines and initiates dialog with payors, patients and departments.

• Reviews billing documents as assigned for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc). Clearing all edits necessary for clean claim submission.

• Understands payor contracts and can apply calculations to resolve under/overpayments.

• Other duties assigned.

What You Bring

You may be a strong fit for this role if you are detail-oriented, patient-focused, and comfortable in a clinical setting. You enjoy working as part of a team, communicating clearly, and supporting both patients and providers.

Minimum Qualifications

• High school diploma or GED required.

• 1-2 years of healthcare revenue cycle experience within a Hospital setting required.

• Knowledge of medical terminology such as CPT, HCPCS, APC, ASC, DRG and ICD10.

• Strong proficiency in Microsoft Excel.

• Ability to communicate clearly (both written and verbal).

• Knowledge of State and Federal healthcare guidelines and regulations.

• Demonstrated experience with reviewing outstanding balances to resolution (Medicare, Medicaid, and Commercial payors).

• Exceptional time management and organizational skills.

• Ability to direct work with minimal supervision and ability to meet performance and quality goals.

Preferred Qualifications

• Bachelor's degree preferred.

• Associate or Industry Certification is a plus.

• Demonstrated understanding of healthcare terminology, insurance plans and contract language preferred.

• Experience working with Cerner and NextGen Practice Management systems.

Recruitment Process Safety

Official recruitment communications from Wills Eye will only come from an authorized @willseye.org email address. Wills Eye will never ask for payment, banking information, Social Security numbers, or other sensitive personal information during the early stages of recruitment, and we do not extend offers without a formal interview process. If you receive a suspicious message or offer, please do not click links, open attachments, or share personal information. Please note Wills Eye does not offer remote positions.

About Wills Eye Hospital

Wills Eye Hospital is a world-renowned leader in ophthalmology, ranked among the top eye hospitals in the nation by U.S. News & World Report. Established in 1832, Wills Eye is one of the oldest and most respected eye care institutions in the world.

Each year, our team provides specialized care to more than 250,000 patients, ranging from routine eye conditions to complex, sight-threatening diseases. Through advanced surgical capabilities, innovative research, and a commitment to clinical excellence, we continue to shape the future of vision care.