Revenue Specialist
Medix, Denver, CO, United States
Job Title:
Revenue Specialist - Billing Systems Setup Department:
Revenue Operations Schedule:
Monday-Friday, 7:00 AM - 3:30 PM PST
Location:
Remote
Job Summary: We are seeking a highly motivated and detail-oriented Revenue Specialist to join our Billing Systems Setup team within the Revenue Operations Department. This role is ideal for individuals who are ambitious, results-driven, and thrive in fast-paced environments. The Revenue Specialist will play a critical role in ensuring billing accuracy, optimizing revenue cycle processes, and resolving payer and system setup issues with a "get it right the first time" mindset.
Key Responsibilities: RCM System Management:
Maintain billing system integrity by updating charge masters, clinical codes, and billing templates (UB-04/CMS-1500) to ensure alignment with payer requirements.
Payer Strategy & Analysis:
Partner with insurance providers to interpret contracts and coverage terms, ensuring accurate reimbursement and execution of Single Patient Agreements.
Operational Optimization:
Collaborate with cross-functional teams to identify workflow gaps and implement data-driven process improvements across the revenue cycle.
Data Integrity & Compliance:
Ensure accurate entry of facility and provider data while maintaining strict compliance with HIPAA and data privacy standards.
Revenue Issue Resolution:
Analyze billing and reimbursement issues, aggregate data, and support resolution efforts to improve financial outcomes. Required Qualifications:
Strong proficiency in Microsoft Excel
Solid knowledge of insurance processes and revenue cycle workflows
Resourceful, proactive, and able to independently seek solutions
Strong multitasking, analytical, and organizational skills
High attention to detail and ability to thrive in a fast-paced environment Preferred Qualifications:
Experience with insurance contracting
Prior experience in revenue operations or healthcare billing systems
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Revenue Specialist - Billing Systems Setup Department:
Revenue Operations Schedule:
Monday-Friday, 7:00 AM - 3:30 PM PST
Location:
Remote
Job Summary: We are seeking a highly motivated and detail-oriented Revenue Specialist to join our Billing Systems Setup team within the Revenue Operations Department. This role is ideal for individuals who are ambitious, results-driven, and thrive in fast-paced environments. The Revenue Specialist will play a critical role in ensuring billing accuracy, optimizing revenue cycle processes, and resolving payer and system setup issues with a "get it right the first time" mindset.
Key Responsibilities: RCM System Management:
Maintain billing system integrity by updating charge masters, clinical codes, and billing templates (UB-04/CMS-1500) to ensure alignment with payer requirements.
Payer Strategy & Analysis:
Partner with insurance providers to interpret contracts and coverage terms, ensuring accurate reimbursement and execution of Single Patient Agreements.
Operational Optimization:
Collaborate with cross-functional teams to identify workflow gaps and implement data-driven process improvements across the revenue cycle.
Data Integrity & Compliance:
Ensure accurate entry of facility and provider data while maintaining strict compliance with HIPAA and data privacy standards.
Revenue Issue Resolution:
Analyze billing and reimbursement issues, aggregate data, and support resolution efforts to improve financial outcomes. Required Qualifications:
Strong proficiency in Microsoft Excel
Solid knowledge of insurance processes and revenue cycle workflows
Resourceful, proactive, and able to independently seek solutions
Strong multitasking, analytical, and organizational skills
High attention to detail and ability to thrive in a fast-paced environment Preferred Qualifications:
Experience with insurance contracting
Prior experience in revenue operations or healthcare billing systems
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.