Healthcare RCM Excel Specialist

Ensora Health; Manchester (NH); On-site; USD 50,000 - 65,000; Full time

Job summary

Ensora Health is seeking an experienced RCM Specialist II to manage accounts, resolve complex billing challenges, and drive financial outcomes for behavioral health providers. You will own the accounts receivable process for assigned accounts and collaborate with clinicians and practice owners to deliver exceptional service.

The ideal candidate will have 1+ year of medical billing/RCM experience, strong analytical skills, and proficiency with billing systems and Microsoft Office.

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.

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

Detail-oriented

Analytical

Problem-solving

Customer-focused

Communication skills

Education

Associate degree or equivalent combination of education and experience

Tools

Billing systems

Reporting tools

Microsoft Office

Job description

Ensora Health is seeking an experienced RCM Specialist II to manage accounts, resolve complex billing challenges, and drive financial outcomes for behavioral health providers. You will own the accounts receivable process for assigned accounts and collaborate with clinicians and practice owners to deliver exceptional service.

The ideal candidate will have 1+ year of medical billing/RCM experience, strong analytical skills, and proficiency with billing systems and Microsoft Office.