Revenue Cycle Specialist

COMPANY OVERVIEW:
Spectrum Medical Care Center is dedicated to providing best-in-class primary and specialty healthcare to LGBTQ+ individuals and those living with HIV/AIDS in Arizona. At Spectrum Medical, we aim to create an inclusive and stigma-free environment for everyone. We encourage patients to “feel good here” by tailoring healthcare to their unique needs. Our services include primary care, gender-affirming care, and HIV and STI testing and treatment.

POSITION OVERVIEW: Revenue Cycle Specialist:

Spectrum Medical Care Center is seeking a Revenue Cycle Specialist to join our growing revenue cycle team. This role is ideal for a detail-oriented billing professional who thrives in a fast-paced medical office setting and enjoys working collaboratively to ensure accurate and timely reimbursement. As a key member of the billing department, you will handle physician billing, manage denials and appeals, process insurance claims, and maintain precise patient account records.

KEY RESPONSIBILITIES

Revenue Cycle Specialists are expected to:

• Process insurance and patient billing data accurately and efficiently.
• Review and resolve denied claims through resubmissions and appeals.
• Manage patient accounts and respond to billing-related inquiries.
• Interpret and act on Explanations of Benefits (EOBs) to resolve underpaid or denied claims.
• Handle incoming calls and correspondence from patients and insurance companies.
• Enter and verify patient demographic and insurance information with accuracy.
• Utilize payer portals, websites, and phone verification to confirm insurance eligibility.
• Work on assigned billing reports and escalate any unresolved issues to the Practice Administrator.
• Maintain current knowledge of payer requirements, HIPAA regulations, and company policies.
• Perform accurate charge entries, manage A/R financial classes (Private Pay, Medicare, Medicaid, Commercial, etc.), and ensure compliance with all billing procedures.
• Support the patient support team with special projects and additional duties as assigned.

QUALIFICATIONS
Minimum Qualifications

• Minimum of 2 years of experience in medical billing or accounts receivable in a healthcare setting.
• Strong knowledge of insurance billing processes, claim submission, and denial management.
• Excellent problem-solving, time management, and organizational skills.
• Proficiency with medical billing software, EHR systems, and Microsoft Office Suite.
• Strong written and verbal communication skills.
• High attention to detail and accuracy in data entry and documentation.
• High School Diploma or GED (required)

Preferred Qualifications
Medical Billing and/or Coding Certificate from an accredited program (preferred)
Bilingual (English/Spanish) preferred but not required.

Required skills, knowledge, and abilities

• On-site role in a professional office environment.
• Regular use of computers, phones, and standard office equipment.
• Ability to sit or stand for extended periods.

PERSONAL ATTRIBUTES

• Hungry – We expect everyone to strive for greatness and achievement.
• Inclusive --We create and promote a work environment where EVERYONE can thrive.
• Resilient – We don’t let small setbacks or major adversity stop us from achieving our goals.
• Empowered – Self motivation is our secret sauce to success.
• Curious -- Curiosity can lead to greater happiness and motivation in both work and life.
• Reliable -- You are accountable and you take ownership of your tasks and commitments.

DIVERSITY, EQUITY, & INCLUSION AT SPECTRUM MEDICAL CARE CENTER
At Spectrum Medical Care Center, we believe exceptional care begins with an inclusive team. We are committed to building a workplace where every individual—regardless of background, identity, or experience—feels respected, supported, and empowered to thrive.
We celebrate the diversity of our patients, staff, and communities, and we strive to create equitable opportunities for all. Our mission-driven culture values compassion, collaboration, and continuous learning—because when every voice is heard, we deliver better care and stronger outcomes.
Spectrum Medical Care Center is proud to be an Equal Opportunity Employer. We welcome candidates of all races, ethnicities, genders, ages, abilities, sexual orientations, gender identities, and lived experiences to join us in advancing health and well-being for everyone we serve.