Healthcare Revenue Cycle Accounting Specialist

About the Role

Integrated Health 21 (IH21) is a leading provider of worksite wellness screenings and vaccination clinics across the continental United States. Headquartered in Pittsburgh, PA, with offices in New York, Wisconsin, and Ohio, IH21 partners with employers and insurance companies to deliver customized health and wellness events. Our mission is simple: to help employees better understand their health and support healthier workplaces.

The Healthcare Revenue Cycle Accounting Specialist plays a central role in the financial health of our organization. This is a dual-function position requiring both high-volume medical claims expertise and accounting proficiency. You will be responsible for accurate, timely claims submission across our biometric screening and health & wellness service lines, while also supporting core accounting functions including reconciliations, accounts receivable, and financial reporting.

This role is well-suited for a detail-driven professional who thrives in a structured, process-oriented environment and takes genuine satisfaction in both the precision of financial work and the mission of helping people live healthier lives.

What You’ll Do

Claims & Revenue Cycle (approximately 50%)

• Submit and manage high-volume medical claims across commercial, employer-sponsored, and direct payers
• Verify participant and employer group eligibility prior to service delivery
• Monitor claim status, follow up on unpaid or rejected claims, and manage denials and appeals through resolution
• Ensure accurate application of CPT and HCPCS codes specific to biometric screening and wellness services
• Maintain compliance with payer-specific billing rules, timely filing deadlines, and regulatory requirements
• Reconcile claim submission data against remittance advice and payment postings

Accounting & Finance (approximately 50%)

• Process and reconcile accounts receivable, including client invoicing and payment application
• Assist with month-end close activities including journal entries and account reconciliations
• Prepare and distribute aging reports; escalate outstanding balances per established protocols
• Support financial reporting by maintaining accurate records in accounting software
• Collaborate with the finance team on audits, compliance documentation, and process improvements
• Identify billing or accounting discrepancies and resolve or escalate appropriately
• Other duties as assigned 

What We’re Looking For

Required Qualifications

• 2–4 years of experience in medical billing, revenue cycle, or a hybrid billing/accounting role
• Demonstrated experience processing high-volume claims in a healthcare or health services environment
• Working knowledge of CPT coding; biometric screening or wellness billing experience a strong plus
• Proficiency with billing software (Health Pac, Availity) and accounting platforms (QuickBooks)
• Solid understanding of accounts receivable processes, month-end close, and basic financial reporting
• Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, data reconciliation)
• Strong attention to detail with demonstrated ability to maintain accuracy at volume
• Excellent organizational and time-management skills; ability to meet deadlines during peak periods

Preferred Qualifications

• Experience in occupational health, corporate wellness, health plan administration, or ancillary healthcare services
• AAPC certification (CPC, CPB) or equivalent credential
• Associate’s or Bachelor’s degree in Accounting, Health Information Management, Business, or related field
• Familiarity with employer group billing and self-funded plan structures

What to Expect in This Role

• This is a high-volume environment. You will process a significant number of claims daily and must be comfortable maintaining accuracy at pace.
• Our biometric screening business follows seasonal cycles — fall months are our busiest period. We support our team through peak seasons with hybrid work environments if proven capable of maintaining accuracy.
• You will regularly switch contexts between claims tasks and accounting responsibilities. If you prefer one type of work exclusively, this role may not be the right fit.
• You will work closely with our operations, client services, and finance team — strong communication matters as much as technical skill.

Why Join Us

• Mission-driven work — your role directly supports programs that improve health outcomes for thousands of employees across the country
• Stable, growing organization with a strong client base in the employer wellness market
• Competitive compensation commensurate with experience — $48,000-$52,000 annually (range based on experience)
• Comprehensive benefits package
• Support for professional development including AAPC certification reimbursement
• Hybrid/remote flexibility when proficiency demonstrated
• Collaborative team environment with accessible leadership

Integrated Health 21 is an Equal Opportunity Employer