Healthcare RCM Specialist II | Billing & Denials Expert

Ensora Health; Salem (NH); On-site; USD 55,000 - 70,000; Full time

Job summary

Ensora Health, a leader in behavioral health software, is seeking an RCM Specialist II to manage accounts, resolve complex billing challenges, and drive positive financial outcomes for clinicians and practices.

You will own the accounts receivable process for assigned accounts, leverage analytics, and partner with clinicians and owners to improve reimbursement workflows in a fast-paced, collaborative environment.

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.
• 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.

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

Customer service

Medical billing

Accounts receivable

Analytical thinking

Attention to detail

Microsoft Office

Communication

Education

Associate degree or equivalent

Tools

Billing systems

Reporting tools

Microsoft Office

Job description

Ensora Health, a leader in behavioral health software, is seeking an RCM Specialist II to manage accounts, resolve complex billing challenges, and drive positive financial outcomes for clinicians and practices.

You will own the accounts receivable process for assigned accounts, leverage analytics, and partner with clinicians and owners to improve reimbursement workflows in a fast-paced, collaborative environment.