Revenue Cycle Specialist

7 days ago

Reno, NV, United States Rhythm Management Group Full time
About Rhythm

Rhythm is redefining the future of remote cardiac monitoring. Our all-in-one platform combines advanced technology with a dedicated clinical/admin support team to help practices streamline workflows, improve patient outcomes, and drive revenue - without adding administrative burden. We serve cardiology device clinics, hospitals, and health systems across the U.S., providing unmatched reliability, service, and integration.

Role Overview:

The Revenue Cycle Specialist - Back-End is responsible for managing and optimizing the financial processes that occur after patient services have been rendered. Reporting to the Senior Director of Revenue Cycle Management, this role focuses on claims management, payment posting, denial resolution, and collections to ensure accurate and timely reimbursement from payers. The specialist will work closely with internal teams and external stakeholders to maintain compliance and improve revenue cycle performance. We're looking for a highly motivated individual who thrives in the remote space and works with a high sense of urgency.

Key Responsibilities:
  • Claims Management:
    • Review and submit corrected claims to payers as needed.
    • Monitor claim status and follow up on unpaid or rejected claims.
  • Denial Management:
    • Analyze denial reasons and take corrective actions to resolve issues.
    • Collaborate with payers and internal teams to appeal and overturn denials.
  • Collections & Follow-Up:
    • Initiate follow-up on outstanding balances with payers.
    • Escalate unresolved accounts according to company policy.
  • Compliance & Documentation:
    • Maintain compliance with HIPAA and payer regulations.
    • Document all actions taken in the patient account system.
  • Reporting & Analysis:
    • Generate and review reports on back-end performance metrics.
    • Identify trends and recommend process improvements.
About You:
  • 7+ years in revenue cycle, medical billing, or healthcare finance.
  • 2+ years of experience on XiFiN Revenue performance management system
  • Strong knowledge of insurance guidelines, EOBs, and denial codes.
  • Proficiency in billing systems and Microsoft Office Suite.
  • Excellent attention to detail and organizational skills.
  • Strong communication and problem-solving abilities.

Compensation: $60,000-$75,000 annually

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