Behavioral Health RCM Specialist II

Ensora Health; United States; Remoto; USD 55.000 - 75.000; Tempo pieno

Descrizione del lavoro

Ensora Health is seeking a detail-oriented RCM Specialist II to support behavioral health providers with claims processing and accounts receivable management. You will work closely with clinicians and practice owners to resolve billing challenges and improve financial outcomes.

The role emphasizes analytical problem solving, process improvement, and proactive account management in a fast-paced, collaborative environment. Prior experience in medical billing and payer requirements is preferred.

Competenze

• 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 and therapy reimbursement processes.
• Working knowledge of the healthcare revenue cycle, including claims submission, payment posting, denial management, appeals, and accounts receivable follow-up.
• Proficiency with billing systems, reporting tools, and Microsoft Office applications.

Mansioni

• 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.

Conoscenze

Customer service

Account management

Analytical thinking

Problem solving

Communication

Formazione

Associate degree or equivalent

Strumenti

Billing systems

Reporting tools

Microsoft Office

Descrizione del lavoro

Ensora Health is seeking a detail-oriented RCM Specialist II to support behavioral health providers with claims processing and accounts receivable management. You will work closely with clinicians and practice owners to resolve billing challenges and improve financial outcomes.

The role emphasizes analytical problem solving, process improvement, and proactive account management in a fast-paced, collaborative environment. Prior experience in medical billing and payer requirements is preferred.