RCM Accounts Receivable Specialist – In-Office Raleigh

Easterseals PORT Health; Raleigh (NC); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Paid time off

Medical coverage

Dental coverage

Vision coverage

FSA

Life insurance

Disability insurance

403(b) plan

Employee Assistance Program

Professional development

PSLF eligibility

Job summary

Easterseals PORT Health in Raleigh, NC is seeking a Revenue Cycle Management Accounts Receivable Specialist to join our in‑house team. You will perform timely follow‑up on outstanding claims, assist with denials, and collaborate with program staff to ensure all revenue is captured and billed.

This full‑time, in‑person role requires knowledge of NC Medicaid and payer rules, plus at least one year of healthcare billing experience.

Qualifications

• High School Diploma or GED required.
• Knowledge of NC Medicaid, LME/MCO, and commercial payer billing rules.
• Minimum of one year of experience in healthcare or behavioral health billing, claims processing, or accounts receivable.
• Ability to analyze and interpret issues in billing, data collection, and accounts receivable.
• Strong organizational skills and attention to detail.
• Ability to maintain confidentiality and exercise professional judgment.

Responsibilities

• Researches outstanding balances and completes required follow‑up within established timelines.
• Coordinates with program staff on insurance verification, eligibility, authorizations, and documentation needed for claim resolution.
• Communicates with funding sources regarding denied, underpaid, or outstanding claims.
• Provides ongoing root cause analysis and trend feedback to RCM Management.
• Supports analytical reporting and special assignments as requested.
• Collaborates with programs to review and reconcile program‑related denials.
• Assists programs in managing Unbilled and Violation Reports.
• Performs other administrative tasks as assigned.
• Works with programs to ensure all potential revenue is captured and billed.
• Identifies and bills secondary and tertiary insurance, including rebilled, replaced, and voided claims.
• Works in applicable systems to correct and process claims requiring adjustment or resubmission.
• Participates in root cause analysis to identify trends affecting claim submission and payment.
• Provides feedback on recurring issues impacting billing accuracy or reimbursement.
• Manages all rejections and denials, including review, reconsideration, and resolution.
• Reviews and resolves aging accounts.
• Posts co‑pays, deductibles, co‑insurance, and claim adjustments.
• Resolves claim issues related to re‑adjudications, transfers, recoupments, voids, and retro‑Medicaid rebills.

Skills

Healthcare billing

Billing analysis

Confidential information handling

Organizational skills

Attention to detail

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Easterseals PORT Health in Raleigh, NC is seeking a Revenue Cycle Management Accounts Receivable Specialist to join our in‑house team. You will perform timely follow‑up on outstanding claims, assist with denials, and collaborate with program staff to ensure all revenue is captured and billed.

This full‑time, in‑person role requires knowledge of NC Medicaid and payer rules, plus at least one year of healthcare billing experience.