Behavioral Health RCM Specialist II

Ensora Health; Oklahoma; On-site; USD 52,000 - 70,000; Full time

Job summary

Ensora Health is seeking a Revenue Cycle Management (RCM) Specialist II to manage accounts, resolve complex billing challenges, and drive favorable financial outcomes for behavioral health providers. The role emphasizes attention to detail, analytics, and forward-thinking process improvements.

The ideal candidate will handle denials, maintain high accuracy in claims processing, and collaborate with clinicians and practice owners to deliver exceptional service in a fast-paced environment.

Qualifications

• Associate degree or equivalent combination of education and experience.
• 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 skills with a customer-first mindset.

Responsibilities

• Submit, review, correct, and process denied, rejected, and unpaid claims with focus on accuracy and timely resolution.
• Research and resolve claim issues by identifying root causes and collaborating with stakeholders.
• Prioritize and manage a high-volume workload based on age, complexity, and urgency.
• Own accounts receivable process for assigned accounts and monitor performance with reporting and reviews.
• Partner with clinicians, practice owners, and customers for proactive account management and service.

Skills

Analytical thinking

Customer service

Communication

Multi-tasking

Attention to detail

Problem solving

Education

Associate degree or equivalent

Tools

Billing systems

Microsoft Office

Reporting tools

Job description

Ensora Health is seeking a Revenue Cycle Management (RCM) Specialist II to manage accounts, resolve complex billing challenges, and drive favorable financial outcomes for behavioral health providers. The role emphasizes attention to detail, analytics, and forward-thinking process improvements.

The ideal candidate will handle denials, maintain high accuracy in claims processing, and collaborate with clinicians and practice owners to deliver exceptional service in a fast-paced environment.