Revenue Cycle Specialist

JOB POSTING

Position: Revenue Cycle Specialist  #4323

Date of Posting: August 31st, 2026 

Status: Full Time (40 hours/week)

 Hourly $27.41

 Union (Grade 6, Class VIII)

 Site Warwick 

Response Date: September 4th 2026 

Job Transfer Date: Employees transfer to the posted position within seven (7) weeks of job offer acceptance date and receive new hourly rate, when applicable, by the fourth (4) week of job offer acceptance date.

Note:

PCHC is an equal opportunity employer committed to diversity in the workplace. 

Overview: The Revenue Cycle Specialist manages the financial aspects of patient care by accurately coding diagnoses and treatments, submitting claims to insurance companies, addressing billing inquiries, resolving all payment denials, ensuring timely and accurate reimbursement, while meeting department productivity and quality requirements.

Key Responsibilities of a Medical Billing Specialist:

• Privacy: Maintain HIPAA standards at all levels of interaction, ensuring patient confidentiality and upholding a strong code of ethics.


• Accurate and Timely Coding: Translate healthcare services and procedures into standardized codes (ICD-10, CPT, HCPCS)


• Claim Submission: Prepare and submit electronic or paper claims to insurance companies.


• Insurance Verification: Verify patient insurance eligibility and coverage.


• Claim Follow-up: Monitor claim status, address denials, and resolving billing issues.


• Patient Billing: Bill patients for any outstanding balances and copays.


• Payment Processing: Post payments and adjustments to patient encounters.


• Data Entry: Accurately enter patient and claim data into billing systems.


• Communication: Respond to patient inquiries and resolve billing concerns.


• Payment Plans: Work with patients to develop reasonable payment plans.


• Record Keeping: Maintain accurate and organized billing records and notes.

Duties and Responsibilities:

Qualifications:

Education:

• High School diploma or equivalent required.


• Certified Professional Coder with AAPC (American Academy of Professional Coders) preferred, not required.


• Two to three years’ experience as a medical biller, payment posting, or healthcare finance.

Essential Job Functions:

• Ability to read, comprehend, and apply standard operating procedures.  Ability to effectively present information by telephone and in one-on-one situations to patients and employees.


• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers.


• Ability to apply common sense understanding to carry out instructions furnished in written or oral form.  Ability to deal with problems involving several variables in standardized situations.


• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.


• The employee is occasionally required to stand; balance; and stoop.


• The employee must regularly lift and/or move up to 10 pounds.


• Specific vision abilities required by this job include close vision, distance vision, color vision, and ability to adjust focus.


• The noise level in the work environment is usually moderate.


• Employee must be able to give accurate/tactful explanations to visitors, patients, and fellow workers and remain professional in stressful situations; accurately recognize names, detect/avoid errors in scheduling and message taking; exhibit the courtesy required to work productively with others under stressful conditions; exercise patience.

Summary of Occupational Exposure:

Classified by CDC as Low Risk.