Revenue Cycle Specialist II

University Hospitals

. Submit and resolve moderate- to high-complexity medical claims .

Posted 11/7/2026full-timeShaker Heights • Ohio • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and claims resolution, including knowledge of claim submission processes and coding standards. Proficient in maintaining patient confidentiality and managing inquiries in a high-volume environment while adhering to departmental policies.

Highest-signal resume keywords

Medical Billing ExperienceClaim Submission Knowledge (UB04/HCFA 1500)ICD10 Coding KnowledgeMicrosoft Office Suite ProficiencyClient Service and Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingClaims ResolutionICD10 CodingClaim Submission (UB04/HCFA 1500)Accounts Receivable ManagementAnalytical SkillsProblem SolvingDetail-OrientedMedical Billing TerminologyProcess Improvement

Soft Skills

Communication SkillsRelationship BuildingTeam PlayerOrganizational SkillsClient Service

Tools & Technologies

Medical Billing SoftwareMicrosoft WordMicrosoft ExcelMicrosoft OutlookGeneral Office Equipment

Certifications & Qualifications

High School Equivalent / GED

Industry Keywords

Protected Health Information (PHI)Third Party PayersBilling PoliciesClaims DenialsInsurance Inquiries

About the role

Key responsibilities & impact

Submit and resolve moderate- to high-complexity medical claims
Maintain current knowledge of governmental and third-party billing, follow-up, and appeal requirements
Respond to management, staff, physician, patient, and insurance inquiries
Maintain patient and physician confidentiality and professionalism
Follow department policies and procedures for accurate and timely claim resolution
Communicate via telephone, form letters, email, and internal correspondence to resolve inquiries and insurance issues
Attend and participate in team meetings
Review and analyze account balances using worklists to collect payment for medical services
Review and update patient information and research and resolve outstanding accounts receivable balances using multiple system applications
Analyze claims resolution and provide feedback to management on solutions and process improvements
Follow up with insurance companies, resolve denials, correct claims, and appeal claims
Liaise with internal and external customers regarding claims and receivables resolution in a high-volume environment
Document accounts clearly and concisely according to departmental procedures
Review and respond to correspondence and inquiries
Meet and exceed team productivity and quality standards
Lead special projects
Participate in staff training
Review complex claims issues and recommend process improvements
Comply with policies and standards and securely maintain Protected Health Information (PHI)

Requirements

What you’ll need

High School Equivalent / GED (Required)
1+ years medical billing / claim experience (Required)
Working knowledge of claim submission (UB04/HCFA 1500) and third party payers
Knowledge of procedural and ICD10 coding
Basic knowledge of medical billing terminology
Detail-oriented and organized, with good analytical and problem solving ability
Client service, communication, and relationship building skills
Ability to function independently and as a team player in a fast-paced environment
Strong written and verbal communication skills
Ability to use PCs, Microsoft Office suite (including Word, Excel and Outlook), and general office equipment
Experience with medical billing software (Preferred)
Ability to meet physical demands including occasional standing/walking, constant sitting/talking/hearing, and occasional lifting/carrying/pushing/pulling up to 20 lbs
Ability to travel 10% of the time