Revenue Cycle Management, RCM Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Contribute to the financial integrity of the organization by managing payment reconciliation, following up on accounts receivable, processing refunds and credits, reconciling payment postings, generating reports, conducting audits, and providing billing support.

• Ensure precise revenue cycle operations, prompt resolution of issues, and effective collaboration with internal teams, vendors, patients, and external partners.

• Uphold and embody the organization’s mission and values while adhering to its policies and procedures.

• Safeguard the confidentiality of patient/client information in compliance with HIPAA, as well as professional and departmental standards.

• Assist in revenue cycle management (RCM) processes and initiatives for process improvement.

• Actively keep updated on billing systems and procedures, including EMR workflows and Clearinghouse vendors.

• Accurately and efficiently process credits and refunds while maintaining records of credit/refund transactions.

• Engage in monitoring claim status volumes and support auditing activities.

• Follow up on denied, unpaid, or rejected claims and resolve any billing-related issues.

• Aid in month-end reporting and reconcile payments and disbursements.

• Communicate with patients, healthcare providers, insurance companies, and third-party administrators regarding billing processes, inquiries, and discrepancies.

• Address inquiries from internal and external stakeholders concerning billing matters.

• Coordinate and respond to revenue cycle provision requests from R1 as necessary.

⛳️ Requirements

• Bachelor’s degree in healthcare and/or business or equivalent experience.

• A minimum of three to five years of experience in revenue cycle management (RCM).

• Must possess the ability to operate a motor vehicle.

• A valid insurance and driver’s license are mandatory.

• Must successfully pass a Level I and Level II background check as required.

• Ability to maintain the confidentiality of patient/client information in accordance with HIPAA, as well as professional and departmental standards.

• Familiarity with billing systems and processes, including workflows in EMR systems and Clearinghouse vendors.

🏝️ Benefits

• Competitive pay.

• Generous paid PTO and sick time.

• 11 paid company holidays.

• Paid training and certification support.

• Health, dental, and vision insurance with a generous company contribution.

• Paid life and disability insurance plans.

• Retirement plan with a generous match of up to 8% of your contribution, plus an additional match of 1%.

• Tuition reimbursement plan.

• Other voluntary plans to support you and your family.

• Opportunities for career growth in a supportive environment.