Revenue Cycle Specialist II - Medicaid Billing & AR Expert

40 Dreams Catering LLC; Westfield (NJ); On-site; USD 70,000 - 90,000; Full time

Job summary

THRIVE by 40 Dreams Catering is seeking a Revenue Cycle Specialist II to support the full revenue cycle in a Medicaid billing environment. You will handle claims submission, payment posting, AR, denials, and payer follow-up, with emphasis on accuracy and compliance.

You will also work with EMR billing workflows, generate reports, develop dashboards, and support data entry and staff as needed. Strong Excel skills and attention to HIPAA and NJ Medicaid guidelines are essential.

Qualifications

• Strong communication skills required for collaboration with teams and payers.
• Advanced analytical and problem-solving abilities are essential for revenue-cycle improvements.
• Proven organizational skills and ability to manage deadlines across multiple tasks.
• Comprehensive knowledge of CPT/HCPCS/ICD-10 and billing procedures.

Responsibilities

• Submit accurate claims to Medicaid and commercial payers.
• Maintain AR aging within organizational benchmarks.
• Post payments and reconcile billing activity.
• Resolve claim denials, rejections, and payment discrepancies.
• Monitor accounts receivable and follow up on unpaid or underpaid claims.
• Track billing performance and reimbursement trends.

Skills

Strong communication skills

Analytical thinking

Organizational skills

Deadline management

Education

High School diploma

Associate degree

Bachelor’s in Healthcare Admin/Finance/Business

Tools

Excel

EMR billing

Job description

THRIVE by 40 Dreams Catering is seeking a Revenue Cycle Specialist II to support the full revenue cycle in a Medicaid billing environment. You will handle claims submission, payment posting, AR, denials, and payer follow-up, with emphasis on accuracy and compliance.

You will also work with EMR billing workflows, generate reports, develop dashboards, and support data entry and staff as needed. Strong Excel skills and attention to HIPAA and NJ Medicaid guidelines are essential.