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HomeCompaniesD45bdb85 F94c 4443 Bc23 Fc2ab817e93e 19000101 000001REVENUE CYCLE SPECIALIST

REVENUE CYCLE SPECIALIST

D45bdb85 F94c 4443 Bc23 Fc2ab817e93e 19000101 000001 · Miami, FL, US, Miami, FL · Active · $18–$25 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyD45bdb85 F94c 4443 Bc23 Fc2ab817e93e 19000101 000001
TitleREVENUE CYCLE SPECIALIST
Normalized title-
Department / team-
LocationMiami, FL, United States
Work model-
Employment typeFull Time
Salary$18–$25 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-04-22 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from D45bdb85 F94c 4443 Bc23 Fc2ab817e93e 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Miami.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyD45bdb85 F94c 4443 Bc23 Fc2ab817e93e 19000101 000001
Source20987e10-8a88-49e1-a4b8-b595ebc64499
ATS providerADP Workforce Now Recruiting

Description

Position Purpose: The Revenue Cycle Specialist role is to provide support to the organization to address all revenue cycle management needs. This includes identifying trends that would impact revenue, work on patient claims, follow up on denial and rejection related issues, and work on special projects as needed. Position Requirements / Qualifications: Education/Experience: High School Graduate or GED required. At least two (2) years’ work experience in a healthcare front office setting. CPC certification preferred. Knowledge of Medicaid / Medicare insurance, collections, and Explanation of Benefits (EOB). Must have experience in healthcare Billing and Revenue Cycle operational workflow. Licensure / Certification: Maintain current CPR certification from the American Heart Association. Skills / Ability: Ability to work as a team member. Must have clerical skills. Must have knowledge of math, operation of calculator, telephone etiquette, human relation skills and organizational skills. Must be computer literate. Demonstrate effective oral and written communication skills. Familiar with Managed Care Contracts, Medical Terminology, ICD-10, and CPT Codes. Knowledge of collections processes and procedure. POSITION RESPONSIBLITIES (THIS IS A NON-EXEMPT POSITION) Responsible for identifying, analyzing, and managing Process Improvement projects in the Revenue Cycle area. Responsible for working the Billing Work Queue impacting revenue for timely review and claims submission (Front/Back Office functions). Monitor patient account details for billing related issues. Reporting claims status to clients on a regular basis to ensure accurate communication between departments within a healthcare organization. Knowledge of payer guidelines and policies. Identify and communicate with Director of Patient Access/Office Managers of the front office trends impacting claims rejection/denials for training opportunities. Provide support to RCM Manager, Coder, Site Office Managers and CBO Vendor in order to expedite claims payments. Coordinating with other departments to ensure that billing cycles are completed efficiently. Work the monthly and cumulative missing encounter report by validating open encounters are truly missing and working with the clinicians to ensure that they complete documentation and close encounter. Access and navigating through various payer portals for claims reconsideration and processing. Follow up on unpaid claims, appeals of denied claims and post payments/adjustments accordingly. Review the closed encounters that appear on the missing encounter report to validate a charge filed in Transaction Inquiry. Supports manager/supervisor in identification of potential loss revenue related to trends in charge entry, billing, coding, or contracting practices that are related to charge capture. Utilize the coding resources to understand procedures that are denied. Identify and communicate global payer issues with RCM, Managed Care and Back Office Vendor to generate evidence-based appeals for claims processing reconsiderations. Understand Managed Care Contracts and various aspects of patient access to maximize claims reimbursement. Monitor and review monthly Chronic Care Management invoices for Medicare reimbursement. Responsible for receiving, tracking, and entering hospital encounters into Epic for billing reimbursement. Export claims data from EHR into RCM Vendor portal for charge posting and billing. Follow up with all outstanding AR projects as directed by RCM Manager. Review the Provider Flow fax portal for correspondence communication and distribution. Complete and submit Quest Diagnostic missing billing details for processing. Establishes and maintains good interpersonal relationships with clients and staff. Participates in the RCM monthly meeting with vendor. Export claims data from EHR into RCM Vendor portal for charge posting and billing. Follow up with all outstanding AR projects as directed by RCM Manager. Maintains open communication using appropriate chain of command regarding departmental issues. Performs other duties as assigned. WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Full job record

Job IDc279e5fda4a0410829be6bc68042af5b68e9e695
Org ID608cf61f-ad0b-44b7-89f8-8a384a9e7dec
Source ID20987e10-8a88-49e1-a4b8-b595ebc64499
Board ID20987e10-8a88-49e1-a4b8-b595ebc64499
Provideradp_workforcenow
Provider Job Key457373
TitleREVENUE CYCLE SPECIALIST
Normalized Title
Statusactive
Activeyes
Location TextMiami, FL, US, Miami, FL
Department
Team
Employment Typefull_time
Workplace Type
Remote Policy
CountryUnited States
RegionFL
CityMiami
Salary Raw17.90 To 24.96 (USD) Hourly
Salary Min17.9
Salary Max24.96
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=d45bdb85-f94c-4443-bc23-fc2ab817e93e&ccId=19000101_000001&lang=en_US&type=JS&jobId=457373&jwId=9200542053096_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=d45bdb85-f94c-4443-bc23-fc2ab817e93e&ccId=19000101_000001&lang=en_US&type=JS&jobId=457373&jwId=9200542053096_1
First Seen At2026-05-31 19:06:18Z
Last Seen At2026-06-06 12:54:30Z
Last Checked At2026-06-06 12:54:30Z
Last Changed At2026-06-06 12:54:30Z
Inactive At
Source Posted At2026-04-22 18:49:00Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=d45bdb85-f94c-4443-bc23-fc2ab817e93e|19000101_000001/date=2026-06-06/2026-06-06T12-54-28-185Z-573bbb3880739e1834cb2c4b83b6db78ddf45d8bc64061e411cdfe6665facacb.json
Event Fields
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  "active_status": "active"
}
Parsed Structured
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Extensions
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    "requisitionDescription": "<div><div><div><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.17.24/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.17.24/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.17.24/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/24.17.24/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/22.46.11/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/22.46.11/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" id=\"isPasted\"><tbody><tr><td valign=\"top\" style=\"width: 100%;\"><p><strong>Position Purpose:</strong>&nbsp; The Revenue Cycle Specialist role is to provide support to the organization to address all revenue cycle management needs. This includes identifying trends that would impact revenue, work on patient claims, follow up on denial and rejection related issues, and work on special projects as needed.</p></td></tr></tbody></table><p id=\"isPasted\"><strong>Position Requirements / Qualifications:</strong></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\"><tbody><tr><td valign=\"top\" style=\"width: 29.2237%;\"><p><strong>Education/Experience:</strong></p></td><td valign=\"top\" style=\"width: 70.7763%;\"><p>High School Graduate or GED required. At least two (2) years&rsquo; work experience in a healthcare front office setting. CPC certification preferred.&nbsp;Knowledge of Medicaid / Medicare insurance, collections, and Explanation of Benefits (EOB). Must have experience in healthcare Billing and Revenue Cycle operational workflow.</p></td></tr><tr><td valign=\"top\" style=\"width: 29.2237%;\"><p><strong>&nbsp;</strong></p></td><td valign=\"top\" style=\"width: 70.7763%;\"><p>&nbsp;</p></td></tr><tr><td valign=\"top\" style=\"width: 29.2237%;\"><p><strong>Licensure / Certification:</strong></p></td><td valign=\"top\" style=\"width: 70.7763%;\"><p>Maintain current CPR certification from the American Heart Association.</p></td></tr><tr><td valign=\"top\" style=\"width: 29.2237%;\"><br></td><td valign=\"top\" style=\"width: 70.7763%;\"><br></td></tr><tr><td valign=\"top\" style=\"width: 29.2237%;\"><p><strong>Skills / Ability:</strong></p></td><td valign=\"top\" style=\"width: 70.7763%;\"><p>Ability to work as a team member.&nbsp; Must have clerical skills. Must have knowledge of math, operation of calculator, telephone etiquette, human relation skills and organizational skills. &nbsp;Must be computer literate. &nbsp;Demonstrate effective oral and written communication skills. &nbsp;Familiar with Managed Care Contracts, Medical Terminology, ICD-10, and CPT <span style=\"background-color: transparent;\">Codes. Knowledge of collections processes and procedure.&nbsp;</span></p></td></tr></tbody></table><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" id=\"isPasted\"><tbody><tr><td valign=\"top\" style=\"width: 100%;\"><p><strong>POSITION RESPONSIBLITIES (THIS IS A NON-EXEMPT POSITION)</strong></p></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Responsible for identifying, analyzing, and managing Process Improvement projects in the Revenue Cycle area.&nbsp;</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Responsible for working the Billing Work Queue impacting revenue for timely review and claims submission (Front/Back Office functions).</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Monitor patient account details for billing related issues.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Reporting claims status to clients on a regular basis to ensure accurate communication between departments within a healthcare organization.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Knowledge of payer guidelines and policies.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Identify and communicate with Director of Patient Access/Office Managers of the front office trends impacting claims rejection/denials for training opportunities.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Provide support to RCM Manager, Coder, Site Office Managers and CBO Vendor in order to expedite claims payments.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Coordinating with other departments to ensure that billing cycles are completed efficiently.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Work the monthly and cumulative missing encounter report by validating open encounters are truly missing and working with the clinicians to ensure that they complete documentation and close encounter.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Access and navigating through various payer portals for claims reconsideration and processing.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Follow up on unpaid claims, appeals of denied claims and post payments/adjustments accordingly.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Review the closed encounters that appear on the missing encounter report to validate a charge filed in Transaction Inquiry.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Supports manager/supervisor in identification of potential loss revenue related to trends in charge entry, billing, coding, or contracting practices that are related to charge capture.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Utilize the coding resources to understand procedures that are denied.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Identify and communicate global payer issues with RCM, Managed Care and Back Office Vendor to generate evidence-based appeals for claims processing reconsiderations.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Understand Managed Care Contracts and various aspects of patient access to maximize claims reimbursement.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Monitor and review monthly Chronic Care Management invoices for Medicare reimbursement.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Responsible for receiving, tracking, and entering hospital encounters into Epic for billing reimbursement.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Export claims data from EHR into RCM Vendor portal for charge posting and billing.</li></ul></td></tr></tbody></table><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" id=\"isPasted\"><tbody><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Follow up with all outstanding AR projects as directed by RCM Manager.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Review the Provider Flow fax portal for correspondence communication and distribution.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Complete and submit Quest Diagnostic missing billing details for processing.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Establishes and maintains good interpersonal relationships with clients and staff.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Participates in the RCM monthly meeting with vendor.</li></ul></td></tr><tr><td valign=\"bottom\" style=\"width: 100%;\"><ul><li>Export claims data from EHR into RCM Vendor portal for charge posting and billing.</li></ul></td></tr><tr><td valign=\"bottom\" 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