RCM Specialist

Position Summary:

Join our team in the Revenue Cycle Management department, where you'll manage accounts, billing, and payments. Your responsibilities include ensuring accurate payments, resolving billing issues, and building relationships with providers and payers. If you're detail-oriented and proactive, apply now to contribute to our financial success.

Location:

• Hybrid and/or remote dependent upon location.
• Open to people in the following states: CA, IL, KS, KY, MD, MN, MO, MS. NC, NE, OH, TN, TX, VA, WA, WV.

Education:

• High School Diploma or equivalent

Requirements:

• Valid driver’s license
• Valid auto insurance
• Must be at least 21 years old

Experience:

• At least 2 years of RCM experience

Essential Duties:

Accounts Receivable Responsibilities:

• Check accounts daily for correct payments.
• Report any unusual insurance payments.
• Solve credit balances and billing issues quickly.
• Handle denials and rejections promptly.
• Manage refund requests.
• Send monthly client statements.
• Resolve customer billing inquiries.
• Keep up-to-date on payer policy changes.
• Build relationships with providers.
• Assist with financial aid and payment plans.
• Help with month-end tasks.
• Submit appeals and corrected claims.
• Provide backup support and training.

Biller Responsibilities:

• Review accounts for accuracy.
• Submit claims electronically and on paper.
• Send invoices for special cases.
• Follow up on unpaid invoices.
• Enter charges as needed.
• Clarify account details with other departments.
• Assist with month-end work.

Payment Posting Responsibilities:

• Manage insurance payments and cash.
• Verify details before posting.
• Record payments accurately.
• Ensure balanced posting.
• Assist with payer inquiries and refunds.
• Support month-end tasks.

General RCM Department Responsibilities:

• Build relationships internally and externally.
• Adapt to changes.
• Attend training and meetings.
• Communicate effectively.
• Assist with audits.
• Identify trends.
• Help develop procedures.
• Organize tasks.
• Maintain confidentiality.
• Assist with other duties as needed.

Join Us:

If you're a dedicated leader passionate about improving patient care and fostering a supportive work environment, apply now! We’re an equal opportunity employer committed to diversity and inclusion. We welcome applicants from individuals of all backgrounds and experiences.