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About the Role

The Revenue Cycle Management (RCM) Specialist supports the full revenue cycle process, ensuring accurate, timely, and compliant billing, collections, and reimbursement for clinical services. This role is critical in maintaining financial integrity through claim preparation, submission, follow-up, payment posting, denial management, and account resolution, adhering to federal, state, payer, and organizational guidelines. The RCM Specialist collaborates with various teams to optimize revenue performance, reduce accounts receivable, prevent revenue leakage, and ensure compliance.

Responsibilities

Perform claim preparation, submission, follow-up, payment posting, denial management, and account resolution activities.
Collaborate with clinical, registration, coding, credentialing, and finance teams.
Optimize revenue performance.
Reduce accounts receivable.
Prevent revenue leakage.
Ensure compliance with all regulatory and payer requirements.

Requirements

Associate's degree in business management or related field.
2-5 years comparable work experience.

Skills

Strong analytical skills
Attention to detail
Thorough understanding of healthcare billing regulations
Thorough understanding of payer contracts
Thorough understanding of reimbursement methodologies

Experience Level

2-5 years

Education Level

Associate's degree