Revenue Cycle Specialist

Job Description

Job Description

Salary : 28.00 - 35.00 per hour

Revenue Cycle Specialist

Location : Affinity Neurocare Frisco & Carrollton, Texas

Reports To : Executive Leadership

Position Summary

The Revenue Cycle Specialist is responsible for managing all aspects of the billing, coding, and reimbursement process to ensure accurate and timely revenue collection. This position supports the clinics financial health by overseeing patient billing, claims submission, insurance follow-up, and payment posting, while maintaining compliance with all federal, state, and payer-specific regulations.

Key Responsibilities

• Review and verify accuracy of patient demographic, insurance, and charge information before claim submission.
• Denial resolutions and resubmissions
• Assign and validate CPT, ICD-10, and HCPCS codes based on provider documentation.
• Prepare, submit, and track electronic and paper claims to insurance carriers.
• Monitor claim rejections, denials, and underpayments; perform timely resubmissions and appeals.
• Post payments, adjustments, and refunds accurately in the billing system.
• Maintain current knowledge of payer policies, medical necessities, and coding guidelines specific to neurology services (EEG, EMG, Botox, Infusions, Ambulatory EEG, etc.).
• Generate monthly reports on collections, aging, denials, and AR performance for leadership review.
• Collaborate with front office and clinical teams to resolve billing discrepancies and enhance revenue capture.
• Ensure all billing activities comply with HIPAA, CMS, and compliance standards.
• Identify trends and recommend process improvements to enhance efficiency and reduce denials.

Qualifications

Core Competencies

Schedule and Compensation