Hybrid Revenue Cycle Specialist – Medical Claims & Billing Location: Irving, TX (Hybrid Schedule) Pay Rate: $18–$25/hour (Based on Experience) Employment Type: Full-Time | Direct Hire About the Role We are seeking a knowledgeable and motivated Revenue Cycle Specialist with a strong focus on medical claims and billing to join a reputable healthcare team in Irving, TX. This hybrid position combines the flexibility of remote work with periodic in-office collaboration, ideal for professionals looking to deepen their experience in claims management and medical billing operations. Key Responsibilities Accurately prepare, review, and submit electronic and paper medical claims to insurance companies, including Medicare, Medicaid, and commercial payers. Monitor claim status, identify and resolve issues related to claim denials or rejections, and ensure timely resubmissions as needed. Conduct thorough insurance verification and eligibility checks before claim submission. Work directly with insurance carriers and third-party payers to follow up on outstanding claims and ensure prompt resolution of unpaid accounts. Ensure compliance with billing guidelines, payer-specific rules, and federal regulations (e.g., HIPAA). Assist with billing audits and implement corrective action plans based on findings. Support patients and internal stakeholders by addressing billing inquiries and explaining insurance benefits and claim status. Qualifications 1–3 years of recent experience in medical billing and claims processing, preferably in a healthcare provider setting. Strong understanding of medical coding (ICD-10, CPT, HCPCS) and insurance requirements for government and commercial payers. Experience working with EHR and billing software (e.g., Epic, Cerner, NextGen, or similar). Knowledge of the complete revenue cycle with a specialty in claims and reimbursement processes. High school diploma or equivalent required; billing certifications (e.g., CMRS, CPB) are a plus. Detail-oriented with strong communication and follow-up skills. Perks of the Role Hybrid work model combining remote flexibility with in-person team support. Opportunity to work with a leading healthcare organization and expand your billing expertise. Competitive hourly pay based on experience. Supportive training environment with potential for long-term career growth. Interested in growing your career in medical billing and claims? Apply now to join a dedicated team making a difference in healthcare revenue management.