Revenue Cycle Specialist
ACCESS CARE is an international management service organization supporting healthcare professionals in developing their high-quality services towards satellite operations and extending healthcare into the heart of communities.
We are passionate in expanding our presence in America, Europe and Asia. To make this possible, we are inviting equally passionate and talented individuals to join our team and together bring healthcare to the next level.
We are on the lookout for the following talent:
We are looking for a detail-oriented and analytical Revenue Cycle Specialist to support our Practice Management operations. This role is responsible for insurance eligibility verification, benefits validation, claims submission, accounts for receivable follow-up, and claim resolution to help ensure timely reimbursement and accurate revenue cycle processing.
The ideal candidate has strong attention to detail, problem-solving skills, and experience working within healthcare insurance and claims workflows.
Key Responsibilities
Insurance Eligibility & Verification- Verify patient insurance eligibility and benefits
- Confirm coverage, copays, deductibles, and authorization requirements
- Validate patient insurance information prior to appointments
- Coordinate with payers regarding coverage verification
- Prepare and submit accurate insurance claims
- Review claims for completeness and accuracy
- Resolve rejected or denied claims
- Monitor claim statuses and payer responses
- Reprocess and resubmit claims when necessary
- Follow up on unpaid or delayed insurance claims
- Research payment discrepancies and denial reasons
- Communicate with insurance companies regarding outstanding balances
- Track claim aging and reimbursement timelines
- Maintain accurate claim documentation and notes
- Update internal systems and tracking reports
- Ensure accurate data entry and reconciliation
- Assist with operational and financial reporting
- Coordinate with Patient Care Advocates and scheduling teams
- Support workflow improvements and reporting initiatives
- Maintain compliance with internal SOPs and payer requirements
- Ensure HIPAA compliance and patient confidentiality
- Maintain high accuracy and productivity standards
- Follow healthcare billing and documentation guidelines
- Experience in healthcare revenue cycle, insurance verification, or claims processing preferred
- Knowledge of insurance workflows and payer processes
- Strong analytical and organizational skills
- Excellent communication and follow-up abilities
- Proficient in Microsoft Excel and data tracking
- Experience with EMR/EHR or practice management systems is a plus
- Willing to work on-site and on the night shift
- Experience with claims follow-up and denial management
- Familiarity with insurance portals and clearinghouses
- Healthcare or dental industry experience
- Reporting and reconciliation experience
- Knowledge of practice management systems
- Experience using Airtable is a plus
- Attention to detail
- Analytical thinking
- Problem-solving
- Accountability
- Time management
- Communication skills
- Data accuracy and organization
If this is you, please apply now. We look forward to hearing from you!