Senior Reimbursement Specialist – Revenue Cycle & Claims

Tryon Med; Charlotte (NC); On-site; USD 52,000 - 68,000; Full time

Job summary

Tryon Med is seeking a Revenue Cycle Account Reimbursement Specialist II to support the RCM team in Charlotte, NC. The role focuses on accurate and compliant billing for office and hospital procedures, with duties spanning claim processing, eligibility checks, and payer communications.

The position requires at least two years of complex claim follow-up, familiarity with ICD-10/CPT codes, and EMR experience (AthenaHealth a plus). Monday–Friday, 8am–5pm in SouthPark.

Qualifications

• Minimum of two (2) years of complex claim follow-up experience in physician office, hospital, ASC, or centralized medical office.
• Knowledge of medical terminology, ICD-10, and CPT codes.
• Proficient in Microsoft Word, Outlook, and Excel; strong computer skills.

Responsibilities

• Performs daily billing activities to ensure successful processing and payment of claims.
• Ensures claim information is complete and accurate for charge entry and data entry of key demographics for insurance claims.
• Verifies patient benefits, eligibility, and coverage for accurate billing.
• Audits completeness and accuracy of all claims before submission to claims clearinghouse.
• Makes necessary claim corrections to resolve payer claim edits and rejections.
• Reports billing changes, issues, and process improvement achievements to RCM Leadership.
• Handles patient communications, processes virtual payments, insurance refunds, missing payments research, bankruptcy and deceased patient notifications, and account reconciliation.
• Ensures HIPAA compliance at all times.

Skills

Medical billing

HIPAA compliance

EMR experience

Payor denial/benefit interpretation

Communication skills

Time management

Data entry

Education

High school diploma or equivalent

Associate degree in business/healthcare

Tools

AthenaHealth EMR

Job description

Tryon Med is seeking a Revenue Cycle Account Reimbursement Specialist II to support the RCM team in Charlotte, NC. The role focuses on accurate and compliant billing for office and hospital procedures, with duties spanning claim processing, eligibility checks, and payer communications.

The position requires at least two years of complex claim follow-up, familiarity with ICD-10/CPT codes, and EMR experience (AthenaHealth a plus). Monday–Friday, 8am–5pm in SouthPark.