OBJECTIVE/OVERVIEW Under the direct supervision of the Revenue Cycle Director, the Revenue Cycle Specialist performs professional-level duties, which generate and maximize earned income for Open Cities Health Center, Inc. These responsibilities include account resolution, denial management, collections, cash posting, customer service, self-pay collections, coding oversight, and more. JOB RESPONSIBILITIES * Gathers, collects and clarifies patient information from OCHC service providers, referring physicians, clinics, and hospitals. * Investigates rejected claims and makes corrections for resubmission. * Provides weekly and monthly revenue cycle management reports, including productivity and financial reports. Acts to resolve issues identified in the revenue cycle management reports. * Exercises independent judgment to resolve patient billing issues and to answer questions from patients, facility staff, and third-party vendors regarding patient accounts. * Researches and resolves credit balances * Assists with audits, site reviews, and other regulatory requirements. * Follows HIPAA guidelines when accessing and sharing patient information. Maintains patient and business confidentiality. * Oversees data entry activities as it relates to revenue cycle management. * Assists with provider credentialing for third-party payers. * Reviews coding denials and provides payer details to be reviewed by certified coding specialist KNOWLEDGE, SKILLS, AND ABILITIES * Ability to perform highly complex and varied tasks requiring a thorough understanding of the revenue cycle. * Has a thorough understanding of general accounting principles, medical insurance, coding, and associated regulations. * Is self-directed and can work independently with little supervision. * Is highly accurate and with attention to detail. * Demonstrates excellent problem-solving, communication, customer service, and decision-making skills with the ability to work under pressure, manage conflict, and appropriately prioritize responsibilities. MINIMUM QUALIFICATIONS * Two years of experience in a healthcare setting working in revenue cycle, patient accounts, and/or self-pay collections. * A high school diploma or above. * Experience working in various software programs, including Excel, electronic medical records, and accounting systems. DESIRED QUALIFICATIONS * Certification as a Revenue Cycle Specialist (CRCS). * Experience working in eClinical Works (eCW) * Experience working with patients and staff from diverse backgrounds, beliefs, and ethnicities.