Behavioral Health RCM Specialist II

Ensora Health; South Dakota Park (SD); On-site; USD 52,000 - 68,000; Full time

Job summary

Ensora Health is seeking an RCM Specialist II to manage accounts, resolve complex billing challenges, and drive positive financial outcomes for behavioral health providers. You will focus on denial management, proactive account health, and delivering exceptional service.

The role emphasizes attention to detail, analytical thinking, and collaboration in a fast-paced environment to improve operational efficiency and customer outcomes.

Qualifications

• Must have medical billing or revenue cycle experience.
• Strong analytical and problem-solving abilities.
• Proficient with billing systems and reporting tools.

Responsibilities

• Submit, review, correct, and process denied or unpaid claims with accuracy.
• Investigate claim issues, identify root causes, and propose solutions.
• Prioritize a high-volume workload by age, complexity, and impact.
• Own accounts receivable for assigned accounts and monitor performance.
• Collaborate with clinicians, practice owners, and customers for proactive management.
• Build trusted relationships via meetings, written communication, and updates.
• Identify trends in denials and reimbursement, suggest process improvements.
• Leverage technology to streamline workflows and boost productivity.
• Work with team leads to share knowledge and drive continuous improvement.
• Stay updated on payer requirements and industry best practices.

Skills

Medical Billing

Revenue Cycle Management

Customer Service

Microsoft Office

Education

Associate degree

Job description

Ensora Health is seeking an RCM Specialist II to manage accounts, resolve complex billing challenges, and drive positive financial outcomes for behavioral health providers. You will focus on denial management, proactive account health, and delivering exceptional service.

The role emphasizes attention to detail, analytical thinking, and collaboration in a fast-paced environment to improve operational efficiency and customer outcomes.