Revenue Cycle Specialist - Healthcare Billing & Compliance

Quantum Medical Solutions LLC

Omaha (NE)

On-site

USD 52,000 - 82,000

Full time

14 days+

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Job summary

QuantumCare is Nebraska’s leading independent wound care partner, offering advanced wound therapies and comprehensive care coordination. The Billing Specialist will analyze, manage, and optimize the financial operations related to billing, collections, and reimbursement, ensuring accuracy, efficiency, and compliance throughout the revenue cycle.

The role collaborates with the Clinic Manager, supports front desk operations, and maintains up-to-date knowledge of payer policies to drive

Qualifications

Bachelor’s degree preferred in finance, healthcare administration, accounting, or related field.

Responsibilities

Monitor and evaluate billing, collections, and accounts receivable data to identify trends.
Enter new referrals in the EHR/PM system and check eligibility.
Proactively follow up on referrals to ensure complete patient records before first visit.
Support front desk operations, including patient intake coordination.
Monitor daily performance on payer portals and the RCM portal.
Work with Clinic Manager to ensure accurate charge capture and timely billing.
Ensure adherence to billing regulations through regular audits.
Assist with denial management and address claim rejections to maximize reimbursement.
Compile data in Smartsheet or Excel and report weekly.
Contribute to development and improvement of systems and workflows.
Serve as liaison between clinical, billing, and administrative teams.
Maintain up-to-date knowledge of payer policies and compliance.
Other duties as assigned.