Serve as a senior point of resolution for escalated, complex, and high-dollar billing issues
Perform detailed root cause analysis on denials, rejections, underpayments, payment-posting anomalies, and configuration errors
Identify and capture all affected claims and accounts when a systemic issue is found
Drive corrective action end-to-end through to verified resolution
Document findings clearly and present recommendations and corrective-action plans to team leads and leadership
Partner daily with multiple teams to resolve issues that span team boundaries
Communicate status, blockers, and resolutions proactively and professionally
Execute and verify account setup and configuration changes
Initiate and confirm EDI/ERA enrollment and related setup steps
Act as a subject matter expert and escalation resource for the broader RCM organization
Author, refine, and maintain Standard Operating Procedures (SOPs) and training materials
Support key revenue cycle metrics in the right direction
Maintain meticulous documentation and notes

5+ years' billing experience
Minimum five (5) years in a fast-paced, high-volume medical billing / revenue cycle role
Proven multitasking ability
Demonstrated success managing many concurrent priorities and escalations at once, under time pressure, without dropping details
Detailed root cause analysis
Strong cross-team collaboration
Working knowledge of more than one billing / practice-management / RCM system
Professional, client-ready communication
Fluent English
Excellent organizational skills
Executive communication experience
Subject matter expert
Fast learner
Flexible availability
Goal-driven

Senior Revenue Cycle Specialist

Key skills