Behavioral Health RCM Specialist II

Ensora Health; Yorktown (VA); On-site; USD 50,000 - 70,000; Full time

Job summary

Ensora Health is seeking an experienced RCM Specialist II to support behavioral health practices in a fast-paced environment. You will manage accounts, resolve complex billing challenges, and drive positive financial outcomes.

The ideal candidate is detail-oriented, analytical, and collaborative, with a passion for process improvement and data-driven decision making. This role emphasizes accuracy, responsiveness, and proactive communication with clinicians and practice owners.

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.
• Proficiency with billing systems, reporting tools, and Microsoft Office applications.

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

Revenue cycle management

Customer service

Analytical thinking

Communication skills

Education

Associate degree or equivalent

Tools

Billing systems

Microsoft Office

Reporting tools

EMR systems

Job description

Ensora Health is seeking an experienced RCM Specialist II to support behavioral health practices in a fast-paced environment. You will manage accounts, resolve complex billing challenges, and drive positive financial outcomes.

The ideal candidate is detail-oriented, analytical, and collaborative, with a passion for process improvement and data-driven decision making. This role emphasizes accuracy, responsiveness, and proactive communication with clinicians and practice owners.