Centerpoint Health · 5 days ago
Revenue Cycle Management Specialist
Franklin, OH
Full-time
Hybrid
Entry Level
1+ years expCenterpoint Health is a FQHC seeking a Revenue Cycle Management Specialist for our community health center. The role supports the financial health of the organization by managing various aspects of the revenue cycle, ensuring accurate and timely reimbursement, and maintaining compliance with billing guidelines.
DentalHealth CareHospitalMedicalPersonal HealthPharmaceuticalPrimary and Urgent Care
Responsibilities
Prepare, review, and submit clean claims to insurance payers
Ensure accurate use of ICD‑10, CPT, and HCPCS codes
Identify and correct claim errors or missing documentation
Monitor claim status and follow up on outstanding or rejected claims
Post insurance and patient payments, adjustments, and denials
Reconcile daily payment activity to ensure accuracy
Investigate payment variances and request corrections when needed
Review denial codes, explain root causes, and take action to resolve issues
Prepare and submit appeals with required documentation
Follow up on aging accounts to support timely collections
Verify insurance eligibility, coverage, and authorization requirements
Communicate patient responsibility amounts clearly and professionally
Respond to patient billing inquiries and assist with account clarification
Maintain patient confidentiality and adhere to HIPAA and payer regulations
Keep up to date with billing rules, reimbursement policies, and payer requirements
Ensure accuracy and integrity of revenue cycle documentation and data
Generate basic reports related to billing, payments, denials, and A/R status
Identify workflow issues and suggest improvements to increase efficiency
Support audits by providing required documents and account information
Perform other tasks and duties as assigned by the supervisor
Qualification
Required
Working knowledge of medical insurance, claim workflows, and reimbursement processes
Understanding of ICD-10, CPT, and HCPCS coding conventions
Strong attention to detail and organizational abilities
Effective communication and customer service skills
Ability to analyze account issues and follow through to resolution
High School diploma required
1-3 years of experience in medical billing, revenue cycle operations, or related field
Benefits
Employee health insurance
Employee assistance program
Paid time off
Referral program
Retirement plan
Company
Centerpoint Health
Centerpoint Health offers primary care, behavioral health, pediatric care, and dental services.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Catherine Engle
Chief Executive Officer
Jim Hauser
Chief Financial Officer
Company data provided by crunchbase