OSH Medical Records Specialist

Description:
Job Title: Analyst, Revenue Cycle
Location: Fully Remote (U.S. Based Only)
Work Authorization: Must be US based and able to work remotely with reliable setup
Please conduct proper due diligence when submitting candidates.
We are having to refresh this requisition because 3 of the 4 candidates who started were not the same individuals who participated in the interviews.

Primary Job Duties & Responsibilities:
Review and work assigned patient accounts receivable (A/R) claims to resolve outstanding balances, including follow up on unpaid claims, denials, and underpayments.
Investigate claim issues by analyzing payer responses, correcting billing or coding errors, and initiating rebills or appeals as needed.
Conduct outreach and document all account activity accurately in accordance with departmental standards.
Escalate complex or unresolved issues to senior team members for timely A/R resolution and cash recovery.
Perform audits to ensure compliance with billing, coding, and reimbursement regulations; identify areas of non compliance and implement corrective actions.
Maintain accurate documentation of all actions taken to resolve A/R issues.

Required Skills & Experience:
35 years of relevant Revenue Cycle or A/R experience - Required
Experience working claim denials, underpayments, and appeals
Familiarity with insurance billing requirements and payer reimbursement policies
Basic understanding of problem solving and decision, making processes
Strong documentation and audit skills
Ability to work independently in a remote environment

Preferred Qualifications:
Certification strongly preferred:
Certified Professional Biller (CPB)
Certified Revenue Cycle Professional (CRCP)
Experience with medical billing systems, payer portals, and A/R workflow tools

Work Environment:
Fully Remote must be located in the United States
Must have a reliable internet connection and appropriate remote work setup

Please Include at Top of Candidates Resume:
Do you have 35 years of Revenue Cycle and/or Accounts Receivable (A/R) experience Yes / No.
If yes, please provide a brief summary:
Do you have experience working claim denials, underpayments, and appeals Yes / No.
Briefly describe your experience:
Do you have experience analyzing payer responses and correcting billing or coding errors Yes / No
Do you have experience with medical billing systems or payer portals Yes / No. Please list systems used:
Do you have experience performing audits to ensure compliance with billing, coding, or reimbursement regulations Yes / No
Have you worked fully remote before Yes / No
Do you have a private, dedicated workspace free from noise and distractions Yes / No
Do you have reliable high speed internet suitable for remote work Yes / No. Upload a speed test screenshot.
Are you comfortable documenting account activity accurately and escalating complex issues when appropriate Yes / No
Do you hold any certifications such as CPB (Certified Professional Biller) or CRCP (Certified Revenue Cycle Professional) Yes / No. If yes, specify certification(s):