Revenue Cycle Specialist
Company: Leading Healthcare Clinic of Goodyear
Location: Goodyear
Posted on: February 16, 2026
|
|
|
Job Description:
Job Description Job Description Description: The Revenue Cycle
Specialist is responsible for managing billing and reimbursement
processes to ensure timely and accurate payment for medical
services. This role supports the full revenue cycle, from charge
entry and claim submission through payment posting and follow-up,
while maintaining compliance with payer and regulatory
requirements. Key Responsibilities • Review, prepare, and submit
medical claims to commercial insurers, Medicare, Medicaid, and
other payers • Ensure accurate coding, charge entry, and claim
documentation in accordance with payer guidelines • Monitor claim
status and follow up on unpaid, denied, or underpaid claims •
Investigate and resolve billing errors, denials, and discrepancies
• Post payments, adjustments, and refunds accurately to patient
accounts • Communicate with insurance companies regarding claim
status and reimbursement issues • Work collaboratively with front
office, clinical staff, and coding teams to resolve billing issues
• Maintain compliance with HIPAA, payer policies, and applicable
regulations • Generate and review billing and aging reports to
support revenue cycle performance • Assist with patient billing
inquiries as needed Requirements: Required Qualifications • High
school diploma or equivalent (associate degree preferred) • 1–3
years of medical billing or revenue cycle experience (clinic or
healthcare setting) • Knowledge of insurance billing processes and
reimbursement methodologies • Familiarity with CPT, ICD-10, and
HCPCS coding concepts • Proficiency with electronic health records
(EHR) and practice management systems • Strong attention to detail
and organizational skills Preferred Qualifications • Experience
with multi-payer environments (commercial, Medicare, Medicaid) •
Knowledge of denial management and appeals processes • Medical
billing or coding certification (e.g., CPB, CPC) • Experience in a
specialty clinic (if applicable) Key Skills and Competencies •
Analytical and problem-solving skills • Effective written and
verbal communication • Time management and ability to prioritize
workloads • Ability to work independently and as part of a team •
Commitment to accuracy, confidentiality, and compliance
Keywords: Leading Healthcare Clinic of Goodyear, Tempe , Revenue Cycle Specialist, Accounting, Auditing , Goodyear, Arizona
