Senior Revenue Cycle Specialist - Onsite

USA Vein Clinics; Northbrook (IL); On-site; USD 33,062 - 38,572; Full time

Benefits offered by this job

Health insurance

Retirement Plan

Paid time off (PTO)

Job summary

Vein Clinics of America, Inc. is seeking a detail-oriented Senior Revenue Cycle Specialist to enhance revenue cycle processes onsite in Northbrook, IL. The ideal candidate will have expertise in payment posting, denial management, and trend analysis in insurance reimbursements. This role emphasizes a proactive approach in improving workflows, particularly through automation. Key responsibilities include managing Accounts Receivable, resolving claims, and ensuring compliance with healthcare billing guidelines. Compensation is $24-$28/hr based on experience.

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.

Responsibilities

• Perform accurate and timely payment posting for all payer types.
• Manage Accounts Receivable (A/R) follow-ups for timely collections.
• Analyze and resolve claim denials, including root cause identification.

Skills

Accounts Receivable (A/R)

Payment Posting

Denials Management

Analyzing Payer Trends

Problem-Solving Skills

Excel

Tools

Healthcare Billing Systems

EHR/RCM Platforms

Job description

Job Summary

We are seeking a detail-oriented and analytical Senior Revenue Cycle 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 (Remote work is not an option)
• Schedule: Full-Time, Monday-Friday (onsite)
• Bilingual: (English & Spanish) Preferred
• Compensation: $24-$28/hr 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)