Senior Revenue Cycle Specialist

Yoh; United States; On-site; USD 41,328 - 45,033; Full time

Benefits offered by this job

Medical, Prescription, Dental & Vision

HSA benefits

Life & Disability Insurance

401K Retirement Savings Plan & Direct/

Referral Bonus

Certification and training

Job summary

Yoh Services LLC is seeking a Senior Revenue Cycle Specialist to support a healthcare client. This onsite/hybrid role focuses on complex billing, denial management, and fast-paced reimbursement activities in a diagnostics setting.

The candidate will investigate and resolve accounts receivable, optimize payer reimbursements, and collaborate with leadership to enhance operational efficiency. Prior experience in pathology or diagnostic lab billing is preferred, with strong communication and

Qualifications

• High School Diploma or GED is required.
• Minimum of four years of experience in a complex healthcare billing and reimbursement environment.
• Advanced knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes.

Responsibilities

• Investigate, resolve, and collect payment on complex healthcare billing and reimbursement transactions.
• Research and resolve unpaid claims, billing discrepancies, denials, and customer complaints to ensure timely and accurate reimbursement.
• Contact insurance carriers, patients, and other stakeholders to resolve account issues and maximize payment.
• Review insurance and patient account correspondence to identify outstanding issues and determine appropriate corrective actions.
• Analyze billing trends and identify recurring reimbursement issues, recommending process improvements to reduce denials and improve collections.
• Collaborate with leadership and cross‑functional teams to develop solutions that improve revenue cycle performance and operational efficiency.
• Review billing documentation to ensure compliance with payer requirements and regulatory guidelines.
• Communicate effectively with insurance companies, patients, and internal leadership regarding account status, payment issues, and resolution strategies.
• Develop and maintain expertise in payer fee schedules, reimbursement methodologies, and denial management.
• Apply advanced knowledge of Medicare, Medicaid, and commercial payer policies to maximize reimbursement opportunities.
• Monitor and work aging reports to resolve outstanding accounts receivable and reduce claim aging.
• Support complex revenue cycle projects and initiatives requiring advanced reimbursement knowledge.
• Assist with special projects and perform additional duties as assigned.

Skills

Healthcare billing

Denial management

Accounts receivable

Analytical skills

Communication

Multitasking

Education

High School Diploma or GED

Job description

Senior Revenue Cycle Specialist – Healthcare Client

Location: Onsite / Hybrid (Based on Client Need)

Industry: Diagnostics

Job Functions

• Investigate, resolve, and collect payment on complex healthcare billing and reimbursement transactions.
• Research and resolve unpaid claims, billing discrepancies, denials, and customer complaints to ensure timely and accurate reimbursement.
• Contact insurance carriers, patients, and other stakeholders to resolve account issues and maximize payment.
• Review insurance and patient account correspondence to identify outstanding issues and determine appropriate corrective actions.
• Analyze billing trends and identify recurring reimbursement issues, recommending process improvements to reduce denials and improve collections.
• Collaborate with leadership and cross‑functional teams to develop solutions that improve revenue cycle performance and operational efficiency.
• Review billing documentation to ensure compliance with payer requirements and regulatory guidelines.
• Communicate effectively with insurance companies, patients, and internal leadership regarding account status, payment issues, and resolution strategies.
• Develop and maintain expertise in payer fee schedules, reimbursement methodologies, and denial management.
• Apply advanced knowledge of Medicare, Medicaid, and commercial payer policies to maximize reimbursement opportunities.
• Monitor and work aging reports to resolve outstanding accounts receivable and reduce claim aging.
• Support complex revenue cycle projects and initiatives requiring advanced reimbursement knowledge.
• Assist with special projects and perform additional duties as assigned.

Education, Licensure and/or Experience

• High School Diploma or GED required.
• Minimum of four (4) years of experience in a complex healthcare billing and reimbursement environment.
• Advanced knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes.
• Experience with insurance accounts receivable, denial management, and claims resolution.
• Experience in Anatomic Pathology or Diagnostic Laboratory billing is preferred.
• Strong understanding of healthcare billing regulations, payer policies, and reimbursement methodologies.
• Demonstrated analytical and problem‑solving skills with the ability to resolve complex billing issues independently.
• Strong interpersonal and communication skills with the ability to work effectively with patients, insurance carriers, clients, leadership, and internal stakeholders.
• Ability to identify trends, recommend process improvements, and contribute to operational efficiencies.
• Self‑motivated with strong organizational skills and attention to detail.
• Ability to manage multiple priorities and work effectively in a fast‑paced, deadline‑driven environment.
• Demonstrated professionalism, accountability, and commitment to delivering exceptional customer service.

Estimated Rate

Min Rate: $30.00

Max Rate: $32.69

Benefits

• Medical, Prescription, Dental & Vision Benefits (for employees working 20+ hours per week)
• Health Savings Account (HSA) (for employees working 20+ hours per week)
• Life & Disability Insurance (for employees working 20+ hours per week)
• MetLife Voluntary Benefits
• Employee Assistance Program (EAP)
• 401K Retirement Savings PlanDirect Deposit & weekly ePayroll
• Referral Bonus Programs
• Certification and training opportunities

Equal Opportunity Employer

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.