Revenue Cycle Coordinator/Specialist

About the Company
THRIVE by 40 Dreams Catering is a dedicated senior meal prep company focused on providing nutritious, high-quality meals to our community's elders. We ensure our seniors receive the care and flavor they deserve through consistent, healthy food service. We are looking for team members who are passionate about service, hospitality, and making a meaningful impact through the power of a great meal.


Job Description
The Revenue Cycle Specialist II supports the full revenue cycle in a Medicaid insurance billing environment, including claims submission, payment posting, accounts receivable, denial resolution, and payer follow-up. This role is responsible for improving reimbursement accuracy, maintaining billing compliance, and supporting cash flow through strong reporting, analysis, and process improvement. This position also supports EMR billing workflows, monitors revenue cycle performance, and may oversee data entry and administrative support staff.


Key Responsibilities
Billing & Revenue Cycle

1. Submit accurate claims to Medicaid and commercial payers.
2. Maintain AR aging within organizational benchmarks.
3. Post payments and reconcile billing activity.
4. Resolve claim denials, rejections, and payment discrepancies.
5. Monitor accounts receivable and follow up on unpaid or underpaid claims.

Reporting & Analysis
Track billing performance, denials, and reimbursement trends.
Identify root causes and recommend process improvements.
Use Excel (including Pivot Tables) for reporting, reconciliation, and trend analysis.
Build and maintain AR tracking dashboards and revenue cycle reports.


EMR & Compliance

1. Maintain accurate billing, insurance, and client data in the EMR.
2. Maintain complete and accurate billing documentation.
3. Ensure compliance with payer guidelines, HIPAA, and New Jersey Medicaid requirements
4. Support EMR billing workflows, audits, and system updates.

Collaboration
Partner with leadership, finance, and administrative teams to resolve billing issues.
May oversee data entry and administrative support staff.
Support staff on billing workflows and documentation requirements.


Qualifications & Requirements
3+ years of revenue cycle experience required.
Reliable commute to Westfield, NJ.
Strong communication skills.
Advanced Excel skills required, including: Pivot tables, AR tracking dashboards, reporting & trend analysis
3+ years of EMR billing workflow or implementation experience required.
Strong analytical, organizational, and problem-solving skills.
Working knowledge of CPT, HCPCS, and ICD-10 coding.
Strong knowledge of billing, AR, collections, and denial management.
Ability to manage deadlines and multiple priorities.
5+ years of healthcare billing experience preferred.


Preferred Education & Credentials

1. High School diploma with strong relevant experience is acceptable.
2. Associate’s Degree preferred.
3. Bachelor’s Degree in Healthcare Administration, Finance, Business, or related field preferred.

Preferred certifications include:

1. CPB – Certified Professional Biller
2. CPC – Certified Professional Coder
3. CRCR – Certified Revenue Cycle Representative
4. CHFP – Certified Healthcare Financial Professional