Revenue Cycle Management Specialist – AR Focus

Cenevia - Health Business Services

. Perform claims processing, including paper and electronic claims .

Posted 10/23/2026full-timeRemote • Virginia • United StatesJuniorMid-Level💰 $20 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims processing, including managing electronic and paper claims, and proficiency in eClinicalWorks. Strong communication and customer service skills are essential for effectively addressing client inquiries and managing account issues.

Highest-signal resume keywords

Claims ProcessingEClinicalWorks ProficiencyInsurance Reimbursement ExperienceAccounts Receivable ManagementCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingInsurance ReimbursementBilling Services ManagementMedical TerminologyPayment PostingCollections ManagementClaim Denial ManagementKPI MonitoringRefund ProcessingClearinghouse Claims Management

Soft Skills

Excellent Communication SkillsCustomer Service SkillsTeam CollaborationProblem-Solving SkillsAdaptability

Tools & Technologies

EClinicalWorksMicrosoft ExcelMicrosoft WordNGS Fiscal Intermediary Shared SystemSecure Technology

Industry Keywords

Federally Qualified Health CenterClaims DenialsAccounts ReceivablePatient StatementsInsurance Websites

About the role

Key responsibilities & impact

Perform claims processing, including paper and electronic claims
Review and manage clearinghouse-rejected claims
Manage and follow up on client-returned claims
Process payments, including daily balancing and manual/electronic payment posting
Manage collections and accounts receivable follow-up
Navigate insurance websites and maintain login access
Review provider participation status
Process patient statements
Process refunds, small balance, and bad debt adjustments
Manage claim denials and resubmit denied Medicare Part A claims through the NGS Fiscal Intermediary Shared System
Submit and follow up on eClinicalWorks and CCNV IT support tickets
Communicate account issues to clients and team leads
Respond to team and client inquiries timely and thoroughly
Make patient phone calls and manage interpretive services
Participate in continued education and internal training
Complete special projects as assigned
Review and follow up on accounts receivable management reports and department goals/KPIs
Monitor common claim processing, denials, and department goals/KPIs
Reassign duties during absences in coordination with the client/team lead supervisor

Requirements

What you’ll need

Two years of experience in insurance reimbursement, account collections, coding and medical terminology
Significant experience performing and managing billing services for a Federally Qualified Health Center (FQHC)
Advanced proficiency in eClinicalWorks (eCW)
Proficiency in Microsoft Excel and Word
Excellent customer service and communication skills
High school diploma or equivalent required
Suitable and secure technology, including secure Wi-Fi, telephone, and dedicated workspace
Must participate and be seen in meetings via video conference

Benefits

Comp & perks

Simple IRA Matching
Health Insurance
Paid Time Off
Paid Holidays
Dental Insurance
Vision Insurance
Life Insurance
Employee Assistance Program
Tuition Reimbursement
Disability insurance
Fitness Program