Revenue Cycle Specialist

Revenue Cycle Specialist

About the Role

SPIN is seeking a detail-oriented and technically skilled Revenue Cycle Specialist to join our Finance team. This position plays a critical role in supporting the organization's revenue cycle operations by maintaining billing-related electronic health record (EHR) systems, optimizing billing processes, and ensuring accurate and timely reimbursement for services provided.

The ideal candidate is analytical, organized, and solutions-focused, with a strong understanding of healthcare billing systems and revenue cycle processes. If you enjoy troubleshooting complex issues, improving system performance, and collaborating with teams across the organization to support financial sustainability and operational excellence, we'd love to hear from you.

Key Responsibilities

• Maintain billing-related configurations within the Evolv EHR system, including payer plans, rates, prior authorizations, service codes, and staff credentialing information.
• Provide billing system training and technical support to management and staff.
• Ensure billing configurations align with service definitions, funding requirements, payer rules, and regulatory requirements.
• Troubleshoot and resolve billing system issues, operational challenges, and claims-related concerns to minimize disruptions.
• Collaborate with Information Technology, Finance, Clinical, and Operational teams to implement new programs, services, and system enhancements.
• Research, analyze, and resolve billing discrepancies, claim rejections, denials, and reimbursement issues.
• Support accurate claims submission and reimbursement across Medicaid, managed care, commercial insurance, and other funding sources.
• Participate in billing reconciliation activities, revenue cycle reviews, and related team meetings.
• Monitor billing data integrity and identify opportunities for process improvements that enhance efficiency and accuracy.
• Serve as a technical resource for billing system functionality, claims processing, and revenue cycle best practices.
• Communicate effectively with internal departments, funding sources, insurance carriers, and external stakeholders regarding billing matters.
• Maintain compliance with organizational policies, confidentiality requirements, and applicable federal, state, and payer regulations.

Qualifications

Required

• Associate degree in Healthcare Administration, Business Administration, Information Systems, Accounting, or a related field.
• Three (3) years of experience in healthcare billing, revenue cycle management, EHR administration, or a related field.
• Experience working with electronic health record (EHR) systems and billing platforms.
• Strong analytical, organizational, problem-solving, and troubleshooting skills.
• Ability to manage multiple priorities while maintaining a high degree of accuracy and attention to detail.
• Proficiency with Microsoft Office applications, including Excel, Word, and Outlook.
• Strong verbal and written communication skills.

Preferred

• Bachelor's degree in Healthcare Administration, Business Administration, Information Systems, Accounting, or a related field.
• Experience with Evolv EHR and related billing applications.
• Experience supporting Medicaid waiver programs, managed care organizations, and commercial insurance billing.
• Knowledge of claims processing, reimbursement methodologies, and healthcare revenue cycle best practices.
• Experience supporting system implementation, configuration, or process improvement initiatives.

Why Join SPIN?

At SPIN, our employees are at the heart of everything we do. We are committed to supporting your health, financial well-being, professional growth, and work-life balance through a comprehensive benefits package available to employees working 30+ hours per week.

Our Benefits Include:

✅ Affordable Healthcare Coverage
Comprehensive medical coverage for just $5 per paycheck, plus FREE dental and vision insurance.

✅ Generous Paid Time Off
Full-time employees (40 hours per week) earn three weeks of PTO during their first year.

✅ Cultural Holiday
Celebrate what matters most to you with one paid cultural holiday of your choice each year.

✅ Education & Family Support
Take advantage of Tuition Reimbursement, a Health Reimbursement Account (HRA), and valuable childcare discounts.

✅ Retirement Planning
Build your future with our retirement savings plan featuring a biannual employer match.

✅ Wellness Rewards
Earn up to $500 annually through our employee wellness incentive program.

✅ Recognition & Rewards
Benefit from employee referral bonuses, longevity bonuses, and additional programs that recognize your contributions and commitment.

More Than a Job

Working at SPIN means joining a mission-driven organization dedicated to empowering individuals and strengthening communities. We foster a culture of inclusion, collaboration, and growth where employees are supported, valued, and encouraged to thrive.

Join our team and make a meaningful impact while building a rewarding career with SPIN.

SPIN is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. SPIN does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

Monday-Friday 8am-5pm
40 Hours Weekly