Revenue Cycle Management Specialist

We are looking for a Revenue Cycle Management Specialist to join a healthcare organization in Chicago, Illinois in a contract-to-permanent capacity. This opportunity is ideal for a detail-oriented individual with strong experience in medical billing, claims administration, and reimbursement workflows across government healthcare programs. The person in this role will help strengthen revenue cycle performance, support compliance efforts, and improve the accuracy of billing and payment processes within an FQHC or similar care setting.

Responsibilities:
• Manage day-to-day revenue cycle activities, including charge review, claim submission, payment posting, denial follow-up, and account resolution.
• Prepare and submit accurate medical claims for Medicare, Medicaid, and other applicable payers while ensuring timely reimbursement.
• Investigate billing discrepancies and denied claims, identify root causes, and take corrective action to reduce payment delays.
• Conduct audits of billing and reimbursement activity to confirm alignment with CMS guidelines and internal compliance standards.
• Monitor revenue cycle performance trends and recommend process improvements that support cleaner claims and stronger collections.
• Collaborate with clinical, administrative, and finance teams to resolve account issues and maintain accurate documentation for billing purposes.
• Support billing operations within an FQHC environment, including payer-specific requirements related to Medicare and Medicaid programs.
• Maintain current knowledge of reimbursement regulations, risk adjustment considerations, and evolving government payer requirements.

Qualifications:

• At least 3 years of experience in healthcare revenue cycle, medical billing, or claims management.
• Hands-on knowledge of Medicare and Medicaid billing practices, including claim review, submission, and follow-up.
• Familiarity with CMS regulations, reimbursement methodologies, and healthcare audit expectations.
• Experience resolving denied or underpaid medical claims and improving billing accuracy.
• Understanding of revenue cycle processes across charge capture, claims processing, and payment reconciliation.
• Background working in an FQHC or similar healthcare setting is strongly preferred.
• Strong analytical skills with the ability to identify process gaps and support compliance-focused billing operations.

Compensation

$27.71-$32.09 Hourly

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