Full-Cycle Revenue Cycle Management (RCM) Specialist

Job Description

Job Description

MD Management, LTD is seeking a highly motivated and detail-oriented Full-Cycle Revenue Cycle Management (RCM) Specialist to join our expert team of medical billing professionals. This is a full-time, onsite position located in Westmont, IL, ideal for someone who thrives in a fast-paced environment and is passionate about optimizing financial outcomes for healthcare providers.

Position Overview:

As a Full-Cycle RCM Specialist, you will take ownership of the entire revenue cycle process—from coding and charge entry through claims submission, adjudication, appeals, and A/R follow-up. You will work closely with providers, clinical teams, and payers to ensure accurate billing and timely reimbursement. This role requires comprehensive knowledge of medical billing workflows, excellent analytical and communication skills, and a relentless commitment to accuracy and efficiency.

Key Responsibilities:

• Manage full-cycle medical billing processes including coding validation, charge entry, claims submission, and payment posting
• Conduct thorough A/R follow-up, including tracking unpaid claims, identifying denial trends, and initiating appeals when necessary
• Collaborate with providers and clinical staff to resolve coding and documentation discrepanciesWork directly with payers to investigate, appeal, and resolve denied or underpaid claims
• Ensure compliance with payer-specific guidelines and industry regulations (e.g., Medicare, Commercial Insurers, HIPAA)
• Utilize EHR and Practice Management systems to document, monitor, and manage claim activity accurately
• Generate reports and analysis to assess billing performance and identify opportunities for revenue optimization
• Respond promptly to internal and client inquiries regarding claim status, billing policies, and reimbursement procedures

Required Qualifications:

• Minimum of 3 years’ experience in medical revenue cycle management, preferably in a third-party billing or multi-specialty setting
• Extensive knowledge of the full medical claims lifecycle including coding, charge entry, adjudication, appeals, and collections
• Demonstrated expertise in reviewing EOBs, remits, and payer-specific adjudication logic
• Strong analytical skills and attention to detail with the ability to work independently and manage competing priorities
• Excellent written and verbal communication skills, with a focus on client service and results

Preferred Qualifications:

• Prior experience working with the specialties of Vascular Surgery, Interventional Radiology, or Phlebology (Surgical Treatment of Varicose Veins)
• Familiarity with EHR and Practice Management platforms such as eClinicalWorks, AthenaHealth, or StreamlineMD
• Certification in medical billing, coding, or revenue cycle management is a plus

The Ideal Candidate:

You are self-motivated, results-driven, and passionate about delivering excellence in revenue cycle management. You take initiative to investigate and resolve claim issues, understand payer policies inside and out, and strive to improve processes and outcomes for every client you support. You thrive in a team environment where attention to detail and communication are key to success.