Senior Revenue Cycle Specialist

This is a fully remote position, open to applicants in India.

📋 Description

• Act as a senior point of resolution for complex, high-value billing issues escalated from internal billing teams, BPO partners, support/help desk, retention, and client-facing personnel.

• Conduct thorough root cause analysis on denials, rejections, underpayments, payment-posting discrepancies, and configuration errors, aiming to identify the genuine upstream drivers instead of merely applying surface-level solutions.

• Recognize and document all impacted claims and accounts when a systemic issue is detected, and oversee corrective actions from start to finish until verified resolution is achieved.

• Clearly document findings and present recommendations and corrective action plans to team leads and leadership.

• Collaborate daily with various teams to resolve issues that cross team boundaries.

• Manage and own hand-offs between functions, ensuring tasks are properly routed, tracked, and closed.

• Proactively and professionally communicate status updates, blockers, and resolutions.

• Execute and confirm changes to account setup and configuration.

• Initiate and verify EDI/ERA enrollment and related setup procedures.

• Ensure that changes yield the intended downstream outcomes.

• Serve as a subject matter expert and escalation resource for the broader RCM organization.

• Author, refine, and maintain Standard Operating Procedures (SOPs) and training materials based on resolved issues.

• Continuously seek ways to eliminate manual processes, reduce recurring issues, and enhance efficiency.

• Communicate effectively and professionally with clients regarding escalated matters.

• Prepare and provide clear written and verbal updates to executive leadership.

• Handle a high volume of simultaneous tasks while meeting productivity and completion-rate targets without compromising accuracy.

⛳️ Requirements

• Over 5 years of billing experience.

• At least five (5) years in a fast-paced, high-volume medical billing/revenue cycle position.

• Proven ability to multitask effectively.

• Demonstrated success in managing multiple concurrent priorities and escalations under time constraints without losing attention to detail.

• Expertise in detailed root cause analysis.

• A history of diagnosing and addressing the fundamental causes of billing issues at their source, rather than just alleviating symptoms.

• Strong capability for cross-team collaboration.

• Ability to work well and communicate effectively with various teams and stakeholders.

• Familiarity with multiple billing systems.

• Working knowledge of more than one billing/practice-management/RCM system, with a quick learning ability for new platforms.

• Professional communication skills suitable for client interactions.

• A polished appearance and presence, with the ability to communicate with clients efficiently, clearly, and with credibility.

• Proficiency in English.

• Fluency in spoken and written English.

• Excellent organizational abilities.

• Highly organized, detail-oriented, and disciplined in documentation and follow-through.

• Experience communicating with executive leadership.

• Background in direct communication and interaction with executive leadership.

• Subject matter expert capabilities.

• Able to serve as an SME and trusted escalation resource for others.

• Quick learner.

• Ability to rapidly and independently grasp new systems, payer regulations, and processes.

• Flexible availability.

• Willing and able to work additional hours as needed to resolve time-sensitive issues.

• Goal-oriented.

• Self-motivated, accountable, and focused on achieving measurable outcomes.

🏝️ Benefits

• Must maintain a stable internet connection with a minimum speed of 30 MBPS.

• Must be comfortable working during US business hours.

• Must possess a laptop with at least 16 GB of memory.