Revenue Cycle Specialist: Patient Billing & Collections

SGS Consulting; Austin (TX); On-site; USD 52,000 - 78,000; Full time

Job summary

SGS Consulting is seeking a Revenue Cycle professional to lead and execute claims processing, denials management, and payer communications within a hospital billing context. The role requires knowledge of UB-04/HCFA 1500 forms, Medicare rules, and strong collaboration across departments to ensure timely reimbursements.

The candidate should have a high school diploma, 1-3 years in a hospital business office environment, and demonstrated ability to meet quality and productivity standards.

Qualifications

• High school diploma required.
• Experience in hospital billing environment preferred.
• Knowledge of UB-04 and HCFA 1500 billing forms.
• Familiarity with Medicare/Medicaid regulations and terminology.

Responsibilities

• Lead and perform Revenue Cycle functions to meet KPIs.
• Manage payer information and assist with account resolution.
• Research regulatory requirements prior to claims submission.
• Handle inquiries via written, verbal, or electronic means.
• Maintain CPT/HCPCS/ICD-10 coding knowledge for submissions.
• Collaborate with leadership to improve productivity and patient experience.
• Coordinate with external vendors and internal departments to resolve denials and delays.

Skills

Revenue Cycle

Leadership

Communication

Payor knowledge

Education

High school diploma

Job description

SGS Consulting is seeking a Revenue Cycle professional to lead and execute claims processing, denials management, and payer communications within a hospital billing context. The role requires knowledge of UB-04/HCFA 1500 forms, Medicare rules, and strong collaboration across departments to ensure timely reimbursements.

The candidate should have a high school diploma, 1-3 years in a hospital business office environment, and demonstrated ability to meet quality and productivity standards.