Revenue Cycle Management Specialist (Medical Billing)

Job Description

We are currently seeking an experienced Revenue Cycle Management Specialist to join our medical billing team. The successful candidate will be responsible for managing all aspects of the revenue cycle, including coding review, claim submission, payment posting, denial resolution, and AR follow-up. This is a hands-on role requiring advanced knowledge of billing processes and experience working with both commercial and government payers MedStates Medical Billing Services.

Key Responsibilities

• Oversee the full medical billing process from claim creation to reimbursement.
• Verify insurance eligibility and patient benefits prior to treatment.
• Submit claims accurately with proper ICD-10, CPT, and HCPCS coding.
• Track claims through clearinghouses and payer portals; resolve denials or rejections.
• Post insurance payments and reconcile accounts accurately.
• Follow up on aged accounts and unpaid claims to reduce AR days.
• Collaborate with providers, front-desk staff, and payers to resolve billing issues.
• Assist with credentialing support and payer enrollment processes as needed.
• Generate reports on billing performance and recommend improvements.
  
  

Qualifications

• Associate’s or Bachelor’s degree in Health Information Management, Medical Billing, or related field preferred.
• Minimum 3 years of experience in a medical billing or revenue cycle role.
• Strong knowledge of coding standards, claim submission procedures, and EDI systems.
• Familiarity with multiple payer types including Medicare, Medicaid, commercial payers, and managed care plans.
• Proficiency with billing software (e.g., Kareo, AdvancedMD, or similar) and EHR platforms.
• Excellent communication, problem-solving, and organizational skills.
• Certified Professional Biller (CPB) or Certified Coding Specialist (CCS) is a plus.
  
  

MedStates Medical Billing Services is a leading provider of end-to-end revenue cycle management solutions, helping healthcare providers across the U.S. increase profitability, reduce claim denials, and stay fully compliant with all payer and regulatory requirements. Headquartered in New York City, MedStates partners with practices in diverse specialties including cardiology, behavioral health, oncology, dermatology, and DME. The company is known for its accuracy, timely claims processing, and HIPAA-compliant operations.