Revenue Cycle Specialist
Gaithersburg, MD
Posted
Global in partnership with District Partners is looking for a motivated and solutions-oriented billing and follow-up specialist. You’ll be joining a fast-growing team with meaningful opportunities for professional growth and advancement within the company. This role also offers exposure to multiple areas of healthcare, providing the opportunity to broaden your knowledge and develop new skills within the industry. Global is a great fit for someone who is motivated, curious, and interested in building a long-term career in healthcare.
Global is a healthcare revenue cycle management company that has worked with hospitals for over 30 years. We provide customized solutions and innovative technology to improve financial performance, operational efficiency, and enhanced patient experience. We work with healthcare organizations across areas such as self-pay, insurance follow-up, patient engagement, and customer service. We are a growing organization with a strong focus on service, innovation, and long-term lasting partnerships.
What You'll Be Owning:
Manage assigned insurance receivables and proactively work outstanding balances toward payment or final resolution
Research unpaid, partially paid, and denied hospital claims to determine the cause of the outstanding balance
Communicate with commercial, Medicare, Medicaid, and managed care payers through phone, web portals, and other available channels
Analyze account history, remittance details, denial information, prior correspondence, and supporting documentation
Resolve issues involving denials, eligibility, authorization, coordination of benefits, medical necessity, timely filing, billing errors, coding concerns, and underpayments
Prepare and submit corrected claims, reconsiderations, appeals, or supporting documentation when appropriate
Identify accounts that require escalation or additional review from coding, billing, clinical, or other internal teams
Maintain thorough and accurate documentation of all research, payer interactions, actions taken, and required follow-up
Monitor assigned accounts through completion and ensure appropriate next steps are taken within expected timelines
Prioritize workload effectively while meeting established productivity, quality, and accuracy standards
Maintain confidentiality of patient and financial information in accordance with HIPAA and organizational requirements
What You'll Bring to the Table:
At least 2 years of experience in healthcare insurance follow-up, hospital billing, accounts receivable, or revenue cycle operations
Experience with Epic is strongly preferred
Prior experience managing aged insurance receivables and outstanding claim balances
Strong knowledge of insurance follow-up, claim adjudication, denials, reimbursement, and payer processes
Experience researching and resolving unpaid or denied claims with insurance carriers
Ability to independently review account information and determine the appropriate course of action
Familiarity with EOBs, ERAs, claim status responses, payer correspondence, and denial information
Working knowledge of medical terminology and common healthcare billing concepts
Strong analytical, investigative, and problem-solving skills
Excellent attention to detail and documentation practices
Ability to work effectively in a high-volume environment and manage competing priorities
Strong verbal and written communication skills
This role is best suited for someone who understands how to work aged hospital A/R, investigate payment delays and denials, communicate effectively with insurance carriers, and determine the appropriate action needed to move an account forward. The successful candidate will be comfortable reviewing complex account histories, identifying the underlying issue, and following through until the balance is appropriately resolved.


