Revenue Cycle Management (RCM) Specialist

Description

CAN Community Health is now hiring a Revenue Cycle Management (RCM) Specialist

Schedule: Full-Time | Day Shift | Monday-Thursday 8:00 am - 5:30 pm Friday 8:00 am - 12:00 pm

Pay Rate: $31.38 - $39.23 hourly based on experience

Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.

We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award.

Why You’ll Love It Here

• •Competitive pay
• •Generous paid PTO and Sick time
• •11 Paid Company Holidays
• •Paid training and certification support
• •Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%.
• •Tuition Reimbursement Plan
• •Other voluntary plans are available to support you and your family
• •Career growth opportunities in a supportive environment

What You’ll Do

The RCM Specialist supports the financial integrity of the organization through payment reconciliation, accounts receivable follow-up, refund and credit processing, payment posting reconciliation, reporting, auditing, and billing support. This role ensures accurate revenue cycle operations, timely issue resolution, and effective collaboration with internal teams, vendors, patients, and external partners.

• •Promotes and practices the organization’s mission and values and follows its policies and procedures.
• •Ensures confidentiality is maintained by entire team regarding patient/client information in accordance with HIPAA, professional and departmental standards.
• •Assist and supports RCM processes and process improvements.
• •Responsible for proactively maintaining knowledge of billing systems and processes, including workflows in EMR systems and Clearinghouse vendors.
• •Process credits and refunds accurately and efficiently in accordance with company policies and procedures; Maintain thorough and accurate records of all credit/refund transactions.
• •Participate in working and monitoring claim status volumes, help with auditing and audits as necessary and other related activities as directed.
• •Follow up on denied, unpaid or rejected claims and resolve billing issues.
• •Assist with month-end reporting and reconciliation of payments and disbursements.
• •Communicate with patients, healthcare providers, and insurance companies, including third-party administrators, regarding billing processes, inquiries, and discrepancies.
• •Respond promptly to inquiries from internal and external stakeholders regarding billing issues or inquiries.
• •Coordinate and fulfill revenue cycle provision requests from R1 as needed.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

Education/Professional:

• •Bachelor’s degree in healthcare and/or business arena or equivalent experience
• •Three -Five years minimum of RCM experience.
• •Must be able to operate a motor vehicle and have valid insurance and driver’s license.

Must be able to pass a Level I and Level II Background check as required (https://info.flclearinghouse.com)

CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.