RCM AR Specialist - Revenue Recovery & Denials

Socket.dev; Raleigh (NC); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life and Disability Insurance

403(b) Retirement Plan

Employee Assistance Program

PSLF qualifying employer

Generous PTO and holidays

Job summary

Socket.dev in Raleigh, NC is seeking an RCM AR Specialist to support the Revenue Cycle Management team by performing timely follow-up on outstanding claims, denials, and unpaid balances. This role researches issues impacting payment, collaborates with internal departments and funding sources, and ensures all potential revenue is captured and billed.

The AR Specialist contributes to denial management, charge entry accuracy, and resolution of aging accounts to support overall revenue cycle

Qualifications

• High School Diploma or GED required.
• Knowledge of North Carolina Medicaid, LME/MCO, and commercial payer billing rules and regulations.
• 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 identify problems, gather relevant information, and determine root causes.
• Ability to generate ideas that improve processes and identify connections across workflows.
• Demonstrated professionalism and ability to handle confidential information appropriately.
• Valid unrestricted North Carolina driver’s license, reliable transportation, and current vehicle insurance.

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.

Skills

Billing knowledge

Analytical skills

Attention to detail

Problem solving

Communication skills

Driver's license

Education

High School Diploma or GED

Job description

Socket.dev in Raleigh, NC is seeking an RCM AR Specialist to support the Revenue Cycle Management team by performing timely follow-up on outstanding claims, denials, and unpaid balances. This role researches issues impacting payment, collaborates with internal departments and funding sources, and ensures all potential revenue is captured and billed.

The AR Specialist contributes to denial management, charge entry accuracy, and resolution of aging accounts to support overall revenue cycle