POSITION SUMMARY

The Revenue Cycle Specialist is responsible for the review, analysis, follow-up, and resolution of third-party claims reimbursements, ensuring timely billing, collection, and payment of professional and 

institutional healthcare claims. The Revenue Cycle Specialist actively collaborates with internal 

departments to maximize reimbursement, reduce outstanding accounts, and maintain compliance with 

payer contracts and regulatory guidelines.

PRIMARY ACCOUNTABILITES 

1. Reviews and processes professional and institutional claims to ensure accurate and timely 

reimbursement.

2. Investigates and resolves claim denials, underpayments, and payment discrepancies with thirdparty payers.

3. Monitors and analyzes reimbursement trends, identifying issues that impact revenue and 

implementing corrective actions.

4. Engages with insurance companies, go...