Behavioral Health RCM Specialist II

Ensora Health; Mississippi; On-site; USD 45,000 - 60,000; Full time

Job summary

Ensora Health, a leading provider of software and services for mental and behavioral health, is seeking an RCM Specialist II to manage accounts and resolve complex billing challenges. You will work with clinicians and practice owners to optimize revenue cycle performance and deliver exceptional service in a fast-paced environment.

Ideal candidates are detail-oriented, analytical, and collaborative, with experience in behavioral health billing, claims processing, and data-driven decision making.

Qualifications

• Associate degree or equivalent combination of education and experience.
• Minimum of 1 year of medical billing or revenue cycle management experience.
• Minimum of 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.
• Strong analytical and problem-solving skills with a customer-first mindset.

Responsibilities

• 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.

Skills

Medical billing

Accounts receivable

Customer service

Analytical thinking

Communication

Microsoft Office

Billing systems

Education

Associate degree or equivalent

Tools

Billing software

Reporting tools

Microsoft Excel

Job description

Ensora Health, a leading provider of software and services for mental and behavioral health, is seeking an RCM Specialist II to manage accounts and resolve complex billing challenges. You will work with clinicians and practice owners to optimize revenue cycle performance and deliver exceptional service in a fast-paced environment.

Ideal candidates are detail-oriented, analytical, and collaborative, with experience in behavioral health billing, claims processing, and data-driven decision making.