Senior Revenue Cycle Specialist - Onsite

USA Clinics Group; Northbrook (IL); Presencial; USD 33.062 - 38.572; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance (medical, dental, vision)

Retirement Plan

Paid time off (PTO)

Descripción de la vacante

USA Clinics Group is seeking a detail-oriented Senior Insurance Collections Specialist in Northbrook, IL. The role focuses on revenue cycle processes and includes responsibilities such as payment posting, accounts receivable follow-ups, and denial management. The ideal candidate will have strong analytical skills and healthcare experience, and will benefit from health insurance and retirement plans. Full-time position with Monday-Friday onsite schedule. Bilingual English & Spanish is preferred.

Formación

• Strong understanding of Accounts Receivable (A/R) processes in healthcare revenue cycle.
• Hands-on experience with payment posting and reconciliation.
• In-depth knowledge of denials management and resolution strategies.
• Ability to analyze payer behavior and identify trends in insurance reimbursements.
• Familiarity with EOBs, ERAs, CPT/ICD codes, and insurance guidelines.
• Strong analytical and problem-solving skills.
• Experience with healthcare billing systems and EHR/RCM platforms.
• Proficiency in Excel and reporting tools.

Responsabilidades

• Perform accurate and timely payment posting for all payer types.
• Manage Accounts Receivable (A/R) follow-ups to ensure timely collections.
• Analyze and resolve claim denials, including root-cause identification.
• Identify denial patterns and payer trends, recommending process improvements.
• Collaborate with teams to improve overall revenue cycle performance.

Conocimientos

Accounts Receivable (A/R)

Payment posting

Denials management

Analytical skills

Problem-solving

Healthcare billing systems

Excel

Automation initiatives

Descripción del empleo

Job Summary

We are seeking a detail-oriented and analytical Senior Insurance Collections Specialist with strong expertise in revenue cycle processes. The ideal candidate will have hands‑on experience in payment posting, denial management, and identifying trends in insurance reimbursements. This role requires a proactive mindset with a focus on process improvement and leveraging automation, including AI-driven solutions.

Position Details

• Location: Northbrook, IL
• Schedule: Full‑Time, Monday‑Friday (onsite)
• Bilingual: English & Spanish (Preferred)
• Compensation: $24‑$28hr based on experience and qualifications.

Key Responsibilities

• Perform accurate and timely payment posting for all payer types (insurance, patient, and third‑party).
• Manage Accounts Receivable (A/R) follow‑ups to ensure timely collections and resolution of outstanding balances.
• Analyze and resolve claim denials, including root‑cause identification and corrective actions.
• Identify denial patterns and payer trends, and recommend process improvements to reduce recurring issues.
• Work closely with billing, coding, and payer teams to ensure proper claim submission and reimbursement.
• Monitor aging reports and prioritize accounts for follow‑up.
• Maintain compliance with payer guidelines and internal policies.
• Document actions taken on accounts clearly and accurately in the system.
• Collaborate with cross‑functional teams to improve overall revenue cycle performance.
• Proactively identify opportunities to streamline workflows and implement automation, including AI‑based tools for denial prediction, posting accuracy, and trend analysis.

Required Skills & Qualifications

• Strong understanding of Accounts Receivable (A/R) processes in healthcare revenue cycle.
• Hands‑on experience with payment posting and reconciliation.
• In‑depth knowledge of denials management and resolution strategies.
• Ability to analyze payer behavior and identify trends in insurance reimbursements.
• Familiarity with EOBs, ERAs, CPT/ICD codes, and insurance guidelines.
• Strong analytical and problem‑solving skills.
• Experience with healthcare billing systems and EHR/RCM platforms.
• Proficiency in Excel and reporting tools.

Preferred Qualifications

• Experience in automation initiatives or AI‑based tools within revenue cycle management.
• Knowledge of process improvement methodologies (Lean, Six Sigma, etc.).
• Certification in medical billing/coding (e.g., CPC, CCS) is a plus.

Key Competencies

• Attention to detail
• Analytical thinking
• Process improvement mindset
• Strong communication skills
• Adaptability to new technologies

Benefits

• Health insurance (medical, dental, vision)
• Retirement Plan
• Paid time off (PTO) (vacation, sick)