Behavioral Health RCM Specialist

Ensora Health; Iowa; Presencial; USD 52.000 - 72.000; Jornada completa

Descripción de la vacante

Ensora Health, a leader in software and services for behavioral health, seeks an RCM Specialist II to manage accounts and resolve complex billing challenges. You will partner with clinicians and practice owners to improve cash flow and patient billing experiences.

The role emphasizes attention to detail, analytics, and continuous improvement in a fast-paced, collaborative environment. Equal opportunity employer statements and DEI focus are highlighted in the postings.

Formación

• 1 year of medical billing or revenue cycle management experience.
• 1 year of customer service, account management, or client-facing experience.
• Strong understanding of insurance billing, behavioral health billing, and therapy reimbursement processes.
• Working knowledge of the healthcare revenue cycle, including claims submission, payment posting, denial management, appeals, and accounts receivable follow-up.
• Excellent verbal and written communication with a customer-first mindset.

Responsabilidades

• Submit, review, correct, and process denied, rejected, and unpaid insurance and healthcare claims with a focus on accuracy and timely resolution.
• Research and resolve claim issues by identifying root causes, recommending solutions, and collaborating with internal and external stakeholders.
• Effectively prioritize and manage a high-volume workload based on claim age, complexity, customer impact, and urgency.
• Own the accounts receivable process for assigned accounts, leveraging reporting, analytics, and account reviews to monitor performance and identify opportunities for improvement.
• Partner closely with clinicians, practice owners, and customers to provide proactive account management and exceptional service.
• Build trusted relationships through regular meetings, strategic account discussions, written correspondence, and ongoing communication.
• Identify trends, denials, and reimbursement challenges while recommending process improvements that enhance operational efficiency and customer outcomes.
• Utilize technology and available tools to streamline workflows, improve productivity, and support data-driven decision making.
• Collaborate with team members, Leads, and Managers to share knowledge, solve complex issues, and contribute to a culture of continuous improvement and service excellence.
• Stay current on payer requirements, industry changes, and revenue cycle best practices to support customer success.
• Perform other duties as assigned.

Conocimientos

Medical billing

Revenue cycle

Customer service

Denial management

Accounts receivable

Analytical skills

Problem solving

MS Excel

Communication

Billing systems

Educación

Associate degree

Herramientas

Billing software

Reporting tools

MS Office

Descripción del empleo

Ensora Health, a leader in software and services for behavioral health, seeks an RCM Specialist II to manage accounts and resolve complex billing challenges. You will partner with clinicians and practice owners to improve cash flow and patient billing experiences.

The role emphasizes attention to detail, analytics, and continuous improvement in a fast-paced, collaborative environment. Equal opportunity employer statements and DEI focus are highlighted in the postings.