Revenue Cycle Specialist

Job overview

Revenue Cycle Specialist is an onsite, full-time role in Miami, FL, paying $17.90–$24.96 per hour. Community Health of South Dade’s revenue cycle function supports the organization’s billing and reimbursement operations. The specialist works claims, billing queues, denials, appeals, and encounter records to support timely and accurate reimbursement. The role also identifies revenue-impacting trends and coordinates with clinical, front-office, and revenue-cycle colleagues on process improvements and claim resolution.

What you'll do

• Identify and manage revenue-cycle process improvement projects
• work billing queues and patient account issues
• monitor claims and payer guidelines
• report claims status
• identify rejection and denial trends
• support claims payment
• validate missing encounters and coordinate documentation completion
• navigate payer portals
• follow up on unpaid and denied claims
• post payments and adjustments
• review charge capture and reimbursement issues
• enter hospital encounters and export claims data to vendor portals.

What we're looking for

Skills & competencies

revenue cycle specialist

miami fl

community health of south dade

healthcare billing

claims

denials and appeals

patient accounts

medicaid

medicare

epic

icd-10

cpt codes

$17.90–$24.96/hr

Work arrangement

• Weekend coverage required

Why this role

High school diploma or GED and two years of healthcare front-office experience are required; CPC certification is preferred.

About the employer

COMMUNITY HEALTH OF SOUTH DADE, INC is hiring for this role. Industry: All Other Outpatient Care Centers. Sector: 62.