Job Description

Our client, a medical service provider, is seeking a Medical Billing & Workflow Optimization Specialist to improve revenue cycle performance by redesigning workflows and implementing automation through software and AI.

you will identify the highest-impact revenue cycle bottlenecks (80/20), convert them into practical solutions, and drive implementation through completion.

Responsibilities

• Identify revenue cycle breakdowns across billing, denials, posting, and payer workflows; prioritize the highest-impact fixes (80/20).
• Lead planning and implementation of process changes across onshore and offshore billing teams and internal stakeholders.
• Partner with internal software developers, data analysts, and AI developers to implement automation that reduces manual work and increases collections.
• Act as the execution hub between Revenue Cycle, Finance, and technical teams; remove bottlenecks and keep initiatives moving.
• Work with payers to resolve recurring billing issues and support renegotiation of select payer contracts.
• Oversee enrollment and credentialing execution to ensure payer participation and payment continuity.
• Partner with Finance and Billing to ensure EFTs, ERAs, and payment operations run smoothly.

Requirements:

• 5+ years in medical billing / revenue cycle operations (non-hospital preferred).
• Proven track record implementing operational change with real billing teams (not just analysis).
• Strong working knowledge of claims lifecycle, denials, appeals, posting, EFT/ERA, and payer rules.
• Strong execution and stakeholder management; ability to push initiatives through bottlenecks.
• Advanced Excel; comfortable working with data and translating needs into developer-ready requirements.

Location: Brooklyn NY
Salary: $120K