Coastal Women's Healthcare is seeking an experienced Revenue Cycle Specialist to join our in-house billing team. This role plays a critical part in ensuring accurate reimbursement by managing claims throughout the revenue cycle, from charge entry and payment posting to denial resolution and insurance follow-up.

The ideal candidate will have experience working with medical claims, insurance carriers, coding, payment posting, and denial management. OB/GYN billing experience is strongly preferred.

Responsibilities

• Review, enter, and validate patient charges and coding information
• Post insurance and patient payments accurately and efficiently
• Monitor claims through the reimbursement process and follow up on outstanding claims
• Investigate and resolve claim denials, rejections, and underpayments
• Submit appeals and supporting documentation to insurance carriers as needed
• Communicate with insurance companies to resolve claim and payment issues
• Maintain accurate billing records and documentation
• Assist patients with billing questions, payment processing, OB prepay accounts, and balance inquiries
• Collaborate with providers and staff to support accurate charge capture and reimbursement

Qualifications

• Previous experience in medical billing, revenue cycle management, or insurance reimbursement required
• Knowledge of CPT, ICD-10, and insurance billing processes
• Experience with payment posting, denial management, and claims follow-up
• Strong analytical and problem-solving skills
• Exceptional attention to detail and accuracy
• Ability to manage multiple priorities and work independently
• Professional communication skills and a patient-centered approach
• OB/GYN billing experience preferred

Why Coastal Women's Healthcare?

At Coastal Women's Healthcare, you'll be part of a collaborative, independent physician-owned practice where your work has a direct impact. Our billing team manages the revenue cycle in-house, allowing you to work closely with providers and colleagues while making meaningful contributions to the financial health of the organization.

Job Type: Full-time

Pay: From $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Experience:

• Medical billing: 3 years (Preferred)

Language:

• English (Required)

Ability to Commute:

• Scarborough, ME 04074 (Required)

Work Location: In person