Remote Revenue Protection Specialist

TL;DR

Remote Revenue Protection Specialist (Revenue Cycle): Develops, monitors, and inspects hospital registration performance while tracking denial trends to drive internal process improvement. Focus on facility analysis of denials, cross-departmental resolution of revenue enhancement opportunities, and applying regulatory/payer knowledge to improve charging and billing accuracy.

Location: Livonia, Michigan, 48152

Salary: $24.5303 - $36.7954

Company

hirify.global is an equal opportunity employer focused on mission-driven, person-centered care.

What you will do

• Develop, monitor, inspect, and recommend measures to correct and improve hospital registration performance.
• Track and report trends to remediate issues and support preventive actions for ongoing internal process improvement.
• Conduct facility analysis of denials and prepare review findings with recommendations.
• Partner with clinical departments, Patient Business Service (PBS) center, Payer Strategies, Compliance, and other revenue cycle teams to drive denial initiatives and resolution.
• Maintain awareness of regulatory and payer changes to support correct charging and billing requirements.

Requirements

• High school diploma.
• Three (3) years of revenue cycle experience (e.g., billing, coding, PA, revenue integrity, collections).
• Strong knowledge of insurance and governmental programs, regulations, and billing processes (e.g., Medicare, Medicaid, managed care contracts, coordination of benefits).
• Certification and membership in AAPC, AHIMA, HFMA, AAHAM, or NAHAM strongly preferred.

Nice to have

• Bachelor’s degree in a related field.
• Experience understanding Revenue Cycle Key Performance Indicators and identifying vulnerabilities in quality performance.
• Working knowledge of denial-related software technology.
• 3 years revenue cycle experience in non-acute care for Physician Billing Denials Prevention.

Culture & Benefits

• Mission- and values-rooted environment focused on dignity, inclusion, and person-centered care.
• Equal opportunity employer with consideration for qualified applicants regardless of protected status.
• Full-time day shift role.

Hiring process

• Review of qualifications and revenue cycle experience.
• Assessment of fit for denial prevention and revenue integrity responsibilities.