Mendry    ·    Florida 501(c)(3) Nonprofit    ·    Veteran-Built & Independent

Hub 03 · Billing and Revenue Cycle

4 Roles · 12 Sub Positions

Billing & Revenue Cycle

The financial engine of every practice.

Billing and revenue cycle professionals convert clinical care into clean claims and clean payments. They navigate Optum, TriWest, TRICARE, and Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) reimbursement workflows. They work denials, manage Accounts Receivable (A/R), post payments, and keep the financial side of veteran-aligned practices running. When the work is done well, claims pay in fourteen days and no one notices. When it isn’t, practices lose tens of thousands of dollars in revenue every quarter.

HFMA

Revenue-cycle credentials

AAPC

Professional billing credentials

NHA

Billing & coding certification

State Payer Rules

State-specific reimbursement

Hub 01 · Overview

What Billing & Revenue Cycle Actually Does.

The Two-Hat Reality

Two-hat practices carry two billing realities under one roof. The revenue cycle professional is who keeps both sides paid cleanly and on time, so neither hat quietly drains the other.

4 Roles. 12 Positions

Billing & Revenue Roles in Detail.

Each primary role and the subroles that branch from it. Tap a role to drop down its subroles — careers here deepen in a role, then broaden across its subroles.

Credentials That Support This Work

The Bodies and Certifications Behind the Role.

These are the professional bodies and certifications relevant to this specialty, listed for reference. Mendry is a membership organization — it does not issue these credentials, require them for membership, or verify that any member holds them.

Healthcare Financial Management Association (HFMA)

Revenue-cycle credentials

AAPC

Professional billing credentials

American Medical Billing Association (AMBA)

Certified Medical Reimbursement Specialist

National Healthcareer Association (NHA)

Billing & coding certification

Glossary

Every Acronym Used on This Page.

Defined in full on first use above and collected here as the reference backstop.

A/R

Accounts Receivable — money owed to a practice for services already delivered.

NHA

National Healthcareer Association.

EOB

Explanation of Benefits — the statement a payer issues describing what was covered on a claim.

CHAMPVA

Civilian Health and Medical Program of the Department of Veterans Affairs — a health benefits program for families of certain veterans.

HFMA

Healthcare Financial Management Association.

AAPC

AAPC — a medical coding and billing certifying body (program name; no longer spelled out).

TRICARE

The U.S. Department of Defense health program for service members, retirees, and their families.

AMBA

American Medical Billing Association.

VA

U.S. Department of Veterans Affairs — the federal department serving veterans.

Find Your Specialty. Find Your People.

Mendry does not employ, place, refer, or supervise Direct Care Support Professionals. We list independent members so the two-hat practices that need them can find them. Your business, your reputation, your decisions.