Pro JTS - Revenue Cycle Specialist v3
30+ daysJob Description
TRC Talent Solutions is partnering with JTS Health Partners and hiring Revenue Cycle Specialists!
This is a fully remote, full-time opportunity with JTS Health Partners’ Revenue Cycle Management team. This role is ideal for professionals with hospital back-end billing, denials management, or cash applications experience who want to make a real impact on healthcare organizations’ financial performance. As a Revenue Cycle Specialist, you’ll analyze accounts, resolve underpayments, appeal denials, and ensure accurate reimbursement — all while collaborating with payers, patients, and providers to drive results.
Key Responsibilities:
Key Responsibilities:
- Analyze accounts to identify underpayments, billing discrepancies, and claim denials.
- Review EOBs, remittances, and payer documentation to resolve outstanding claims.
- Submit appeals, reconsiderations, and corrected claims for denied or underpaid accounts.
- Communicate with payers, patients, and clients via phone and written correspondence.
- Navigate payer portals such as Availity, Optum, MMIS, and Medicare contractors.
- Work AR reports and resolve credit balances.
- Apply Lean process improvement methods to streamline daily workflows.
- Ensure compliance with payer requirements, standard work procedures, and organizational policies.
- 1+ year of hospital back-end revenue cycle experience (denials, billing, cash applications, etc.) OR 2+ years in an accounting/finance environment.
- High school diploma or GED.
- Proficiency in Microsoft Excel and MS Office tools.
- Knowledge of claim submission, insurance follow-up, and remittance analysis.
- Strong analytical, problem-solving, and communication skills.
- Excellent time management and organizational skills.
- Associate or Bachelor’s degree in Healthcare Administration, Business, or related field.
- HFMA Certified Patient Account Representative (CPAR/ACPAR) or Certified Revenue Cycle Representative (CRCR).
- Experience in Lean process improvement.
- 100% Remote: Work from the comfort of your home with a secure setup.
- Small team culture with big company benefits.
- Paid Time Off and Holidays.
- 401(k) with employer match.
- Annual profit sharing (awarded 14 out of the last 15 years).
- A supportive environment that promotes career growth and skill development.