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Revcycle Jobs (NOW HIRING)

Bestica Healthcare

RN-Case Managment

Lodi, CA

Care Management - RevCycle Day Shift 8:00 am - 6:30 pm/4x10 hours/40 hours per week/Days per week: variable to include weekends/NO call/Minimum. 1 year acute care management experience. * Registered ...

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Revcycle information

What are the key skills and qualifications needed to thrive as a Revenue Cycle Specialist, and why are they important?

To thrive as a Revenue Cycle Specialist, you need a solid understanding of medical billing, coding, and healthcare reimbursement processes, often supported by a degree in healthcare administration or a related field. Proficiency with electronic health record (EHR) systems, practice management software, and certification such as Certified Revenue Cycle Representative (CRCR) is typically required. Attention to detail, problem-solving skills, and strong communication abilities help ensure accurate claim processing and effective collaboration with patients and insurers. These competencies are critical for optimizing revenue flow, minimizing claim denials, and maintaining the financial health of healthcare organizations.

What are some common challenges faced by Revcycle professionals, and how can they be addressed in a healthcare organization?

Revcycle professionals often encounter challenges such as keeping up with changing healthcare regulations, managing denied claims, and ensuring timely billing and collections. Addressing these challenges requires staying updated on compliance requirements, collaborating closely with clinical and administrative staff, and utilizing technology to streamline workflows. Proactive communication, regular training, and adopting best practices for claims management can greatly improve efficiency and reduce errors, making a significant impact on an organization's financial health.

What is the difference between Revcycle vs Medical Billing Specialist?

RevcycleMedical Billing Specialist
Focuses on revenue cycle management, including billing, collections, and accounts receivablePrimarily handles medical billing, coding, and submitting claims
Requires knowledge of billing, coding, insurance processes, and revenue cycle workflowsRequires coding certifications, billing software proficiency, and claim submission skills
Works in healthcare settings, hospitals, clinics, and revenue cycle departmentsWorks in healthcare offices, billing companies, and outpatient clinics

Revcycle professionals oversee the entire revenue cycle, including billing, collections, and accounts receivable, ensuring healthcare providers receive timely payments. Medical Billing Specialists focus specifically on coding and submitting claims to insurance companies. While both roles involve billing and coding, Revcycle roles have a broader scope related to revenue management, making them more comprehensive in revenue cycle processes.

What is a Revcycle job?

A Revcycle job refers to a position involved in the healthcare revenue cycle, which encompasses all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. Professionals in this field ensure that healthcare providers are properly reimbursed for their services, handling tasks like billing, coding, claims processing, and payment collection. Revcycle jobs are critical to the financial health of medical facilities, as they help minimize errors, reduce denials, and improve cash flow. Typical roles include revenue cycle analysts, billing specialists, and patient financial services representatives.
More about Revcycle jobs
What cities are hiring for Revcycle jobs? Cities with the most Revcycle job openings:
What states have the most Revcycle jobs? States with the most job openings for Revcycle jobs include:
What job categories do people searching Revcycle jobs look for? The top searched job categories for Revcycle jobs are:
Revcycle jobs near you
Infographic showing various Revcycle job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 58% Physical, and 42% Remote job distribution.
Medical Billing A/R Specialist

Medical Billing A/R Specialist

Odyssey Health Systems LLC

Fairlawn, OH • Hybrid

$17 - $20.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

Job description

At GBS RevCycle (Odyssey Health Systems), we're transforming healthcare with our comprehensive Revenue Cycle Management (RCM) solution. We're on the lookout for dedicated individuals to join our team as Medical Billing A/R Specialists for both Professional and Facility charges. With a hybrid work schedule potential and a host of enticing benefits, this is your opportunity to grow in a dynamic and ever-expanding field.

Why Choose GBS RevCycle:
  • Hybrid Work Schedule Potential: Enjoy the flexibility of a hybrid work environment.
  • Full-Time Benefits: We care about your well-being. Our benefits include Medical, Dental, Vision, Accident, Disability Insurance, PTO, Holidays, Wellness plans, Profit Sharing, 401(k), and more.

Title: Medical Billing A/R Specialist (AR Profee or AR Facility)


Location: Fairlawn, OH (Hybrid)

Are You Ready for an Exciting Medical Billing Career?

GBS RevCycle is at the forefront of the industry, and we're growing rapidly. Join us if you're motivated, ambitious, and ready to make a difference!

Position Summary:

As a Medical Billing A/R Specialist, you'll play a critical role in ensuring the smooth processing of claims and billed charges. Your responsibilities include navigating payer and clearinghouse websites, utilizing excellent communication skills during phone interactions, and striving for one-touch resolution. Understanding the unique requirements of each payer and staying within time limits for claim and appeal submissions are crucial aspects of this role. Additionally, you'll need to comprehend explanation of benefits from various carriers and identify trends for efficient management.

Key Responsibilities:

The ideal candidate will efficiently manage daily AR reports, ensuring accuracy and timeliness. They will engage in effective follow-up via phone calls or website navigation with insurance carriers or patients to resolve unpaid claims. Proficiency in navigating insurance websites and gathering crucial information is key.

This role requires expertise in verifying insurance eligibility, benefits, and obtaining necessary LCDs/Carrier Policies. A solid understanding of managed care authorizations and coverage limits, particularly within various specialties, is essential. Additionally, responsibilities include researching credit balances, preparing refunds under Supervisor approval, and promptly addressing customer inquiries and correspondence requests.

A successful candidate will conduct a weekly review of rejected claims, identifying and resolving issues promptly. They will recognize and escalate trends in claim submissions and deadlines to ensure prompt resolutions. Reporting hindrances in payment/adjudication from insurance companies to the AR Team Supervisor is crucial.

Qualifications:
  • High School diploma or equivalent.
  • Minimum of 2 years of relevant experience in a healthcare organization.  
  • In-depth knowledge of insurance and reimbursement processes, familiarity with medical terminology, exceptional communication, and time management skills are necessary.
  • Proficiency in basic computer applications (Word, Excel).
  • Adaptability to changing work environments, detail orientation, and exceptional multitasking abilities are also required.
  • Maintaining confidentiality within a HIPAA-secure environment is of utmost importance.


Work Environment:
This role operates in a standard office environment, requiring extended periods of sitting, computer usage, and calculator operation. Mobility is necessary to access files, occasionally involving bending, stooping, walking, and lifting. Flexibility to work extended hours, particularly at month-end, is expected.

Equal Opportunity Employer:
GBS RevCycle is proud to be an equal opportunity employer. We believe in building a diverse and inclusive workforce. We do not discriminate based on race, religion, color, national origin, disability, gender, gender identity, age, sexual orientation, veteran or military status, or any other legally protected characteristics. We also provide reasonable accommodations for candidates with disabilities who may need assistance during the hiring process.

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