Revenue Cycle Specialist

UCSF Health

. Manage claims by evaluating payments, denials, registration issues, appeals, and required research for all UBCP practices .

Posted 11/2/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $28 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare accounts receivable management, including unadjudicated claim management and appeals. Proficient in utilizing Epic and other electronic health record systems while maintaining high accuracy and productivity standards.

Highest-signal resume keywords

Healthcare Accounts Receivable ExperienceUnadjudicated Claim ManagementEpic ProficiencyAnalytical Problem-Solving SkillsInsurance Billing Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims EvaluationDenial ResolutionPatient Refund ProcessingAccount AdjustmentsRevenue Cycle ComplianceMedical Terminology KnowledgePayer Rules UnderstandingCredentialing Billing RequirementsPre-Collection ActivitiesResearching Complex Account Issues

Soft Skills

Excellent Communication SkillsConflict Resolution TechniquesAbility to Manage Multiple PrioritiesCultural SensitivityProfessionalism

Tools & Technologies

EpicMicrosoft ExcelMicrosoft WordMicrosoft OutlookWeb-Based Applications

Industry Keywords

Revenue Cycle ManagementHealthcare AdministrationInsurance RequirementsManaged Care ContractsPatient Rights

About the role

Key responsibilities & impact

Manage claims by evaluating payments, denials, registration issues, appeals, and required research for all UBCP practices
Follow through on accounts with inactive, ineligible, or unverifiable insurance coverage
Review, document, and process patient refunds, account adjustments, and posting follow-through
Review and address assigned correspondence within seven calendar days
Provide customer service and conduct pre-collection activities for assigned self-pay balances
Identify trends in rejected, denied, or unpaid claims and recommend reimbursement solutions
Communicate with practices, payers, patients, and internal partners to resolve account issues
Document account activity, corrections, decisions, and process improvements in appropriate systems
Maintain at least 95% accuracy and meet productivity, quality, and timeliness standards
Support Epic optimization, quality initiatives, compliance requirements, risk mitigation, and other Revenue Cycle duties as assigned
Share knowledge, request feedback, and collaborate with team members to achieve departmental goals

Requirements

What you’ll need

High school diploma or equivalent required
Five or more years of healthcare accounts receivable experience, including expertise in unadjudicated claim management, appeals, and pre-collection activities
Demonstrated experience researching complex account issues, resolving non-coding denials, and working with payers, practices, and patients to support timely reimbursement
Knowledge of healthcare accounts receivable, insurance billing, revenue cycle compliance, and non-coding denial resolution
Knowledge of medical terminology, payer rules, regulations, managed care contracts, insurance requirements, and credentialing-related billing requirements
Strong analytical and problem-solving skills
Proficiency using Epic or another electronic health record or practice management system, Microsoft Excel, Word, Outlook, and web-based applications
Ability to manage multiple priorities, work independently, and complete assignments accurately within established deadlines
Excellent verbal and written communication skills, including diplomatic communication and conflict-resolution techniques
Ability to maintain effective working relationships with colleagues, practice staff, leaders, patients, payers, and other partners
Ability to maintain professionalism, confidentiality, cultural sensitivity, and respect for patient rights, safety, and ethical standards
Additional coursework or training in medical billing, healthcare administration, or a related field preferred