Revenue Cycle Specialist
Human Services Management Corporation, Milford, MA, United States
Job Description
The Revenue Cycle Specialist is a multi-specialized role responsible for supporting all aspects of the revenue cycle, including cash posting, insurance coordination, and billing functions. This position ensures the accurate and timely processing of payments, verification and authorization of insurance coverage, and submission and follow-up of claims. The Specialist works collaboratively across departments to resolve reimbursement issues, maintain compliance, and support the organization’s financial performance.
Responsibilities
Cash Posting & Reconciliation:
Post payments, adjustments, and denials to patient accounts accurately and timely
Perform daily and monthly reconciliation of cash receipts and postings, identifying and resolving discrepancies
Insurance Coordination & Authorizations:
Verify patient insurance eligibility, benefits, deductibles, co-pays, and authorization requirements
Obtain and track prior authorizations, ensuring all required clinical documentation is complete and accurate
Billing & Accounts Receivable Support:
Prepare, review, and submit accurate insurance claims with appropriate coding and documentation
Monitor and follow up on outstanding claims and accounts receivable
Collaboration & Compliance:
Collaborate regularly with the Client companies, Intake, Billing, and Collections teams to resolve reimbursement issues
Ensure all activities comply with HIPAA and organizational privacy and security policies
Qualifications
High School Diploma or equivalent required; Associate's degree preferred
2 years’ experience with automated systems and multiple electronic reimbursement processes
Experience with cash posting, billing procedures and accounts receivable
Knowledge of CPT and ICD-10 coding and medical terminology preferred
Proficiency with practice management systems, EHR platforms, and Microsoft Excel
Compensation
$22-$22
Equal Opportunity Employer
Selection for employment is made regardless of race, color, religion, creed, sex, sexual orientation, gender identity/expression, pregnancy or pregnancy-related condition, marital status, national origin, ancestry, age, disability, handicap, genetic information, someone who is a member of, applies to perform, or has an obligation to perform, service in a uniformed military service of the United States, including the National Guard, on the basis of that membership, application or obligation; veteran status, or any other bases protected by law. HSMC participates in E-Verify.
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The Revenue Cycle Specialist is a multi-specialized role responsible for supporting all aspects of the revenue cycle, including cash posting, insurance coordination, and billing functions. This position ensures the accurate and timely processing of payments, verification and authorization of insurance coverage, and submission and follow-up of claims. The Specialist works collaboratively across departments to resolve reimbursement issues, maintain compliance, and support the organization’s financial performance.
Responsibilities
Cash Posting & Reconciliation:
Post payments, adjustments, and denials to patient accounts accurately and timely
Perform daily and monthly reconciliation of cash receipts and postings, identifying and resolving discrepancies
Insurance Coordination & Authorizations:
Verify patient insurance eligibility, benefits, deductibles, co-pays, and authorization requirements
Obtain and track prior authorizations, ensuring all required clinical documentation is complete and accurate
Billing & Accounts Receivable Support:
Prepare, review, and submit accurate insurance claims with appropriate coding and documentation
Monitor and follow up on outstanding claims and accounts receivable
Collaboration & Compliance:
Collaborate regularly with the Client companies, Intake, Billing, and Collections teams to resolve reimbursement issues
Ensure all activities comply with HIPAA and organizational privacy and security policies
Qualifications
High School Diploma or equivalent required; Associate's degree preferred
2 years’ experience with automated systems and multiple electronic reimbursement processes
Experience with cash posting, billing procedures and accounts receivable
Knowledge of CPT and ICD-10 coding and medical terminology preferred
Proficiency with practice management systems, EHR platforms, and Microsoft Excel
Compensation
$22-$22
Equal Opportunity Employer
Selection for employment is made regardless of race, color, religion, creed, sex, sexual orientation, gender identity/expression, pregnancy or pregnancy-related condition, marital status, national origin, ancestry, age, disability, handicap, genetic information, someone who is a member of, applies to perform, or has an obligation to perform, service in a uniformed military service of the United States, including the National Guard, on the basis of that membership, application or obligation; veteran status, or any other bases protected by law. HSMC participates in E-Verify.
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