RCM Representative Job – Remote Remote

Sentapartners; Atlanta, Northern (GA, KY); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health benefits

HSA

FSA

Disability insurance

PTO & holidays

Employee Assistance Program

Job summary

SENTA Partners is seeking a Revenue Cycle Representative in Atlanta to manage claims processing, AR, denials, and payments for partner ENT and Allergy practices. You will collaborate with clinical and billing teams to ensure compliant, timely revenue cycle activities and accurate patient billing support.

The role emphasizes attention to detail, proactive communication, and analytical skills to improve financial performance and operational efficiency.

Responsibilities

• Claims Processing: Prepare and submit accurate claims to insurance carriers, ensuring compliance with payer guidelines and coding standards.
• Accounts Receivable Management: Monitor and manage accounts receivable balances, including following up on unpaid or denied claims.
• Denial Management: Research and resolve claim denials and rejections by analyzing reasons for denial, identifying corrective actions, and resubmitting claims when appropriate.
• Payment Posting: Accurately post payments received from insurance companies and patients, including electronic and manual payments.
• Patient Account Management: Assist with patient billing inquiries, resolve payment discrepancies, and facilitate payment arrangements.
• Revenue Cycle Reporting: Generate and analyze revenue cycle reports to monitor KPIs such as days in AR, denial rates, and collection ratios.
• Compliance: Ensure all billing activities are compliant with state and federal regulations, payer requirements, and organizational policies.
• Collaboration: Work closely with the clinical staff, billing team, and revenue cycle management to address issues impacting revenue cycle performance and provide feedback for process improvement.

Job description

SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is tohelp people Breathebetter, Hear better, Livebetter. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.

Position Summary

The Revenue Cycle Representative at SENTA Partners plays a key role in managing the financial health of our healthcare organization. This position is responsible for processing claims, managing accounts receivable, following up on denied or outstanding claims, and ensuring timely and accurate billing. The ideal candidate is detail-oriented, proactive, and has strong communication and analytical skills.

Key Responsibilities

• Claims Processing: Prepare and submit accurate claims to insurance carriers, ensuring compliance with payer guidelines and coding standards.
• Accounts Receivable Management: Monitor and manage accounts receivable balances, including following up on unpaid or denied claims.
• Denial Management: Research and resolve claim denials and rejections by analyzing reasons for denial, identifying corrective actions, and resubmitting claims when appropriate.
• Payment Posting: Accurately post payments received from insurance companies and patients, including electronic and manual payments.
• Patient Account Management: Assist with patient billing inquiries, resolve payment discrepancies, and facilitate payment arrangements.
• Revenue Cycle Reporting: Generate and analyze revenue cycle reports to monitor key performance indicators (KPIs) such as days in AR, denial rates, and collection ratios.
• Compliance: Ensure all billing activities are compliant with state and federal regulations, payer requirements, and organizational policies.
• Collaboration: Work closely with the clinical staff, billing team, and revenue cycle management to address issues impacting revenue cycle performance and provide feedback for process improvement.

What We Offer

• Comprehensive Health Benefits (Medical, Dental, and Vision)
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Short & Long Term Disability
• Holidays & Paid Time Off (PTO)
• Employee Assistance Program (EAP)

• Cer tain US jurisdictions require S ENTA Partners to provide new employees with a reasonable estimate of the salary for th is role at the loc a tion in which the job may be performed . Th e posted salary range reflects our best estimate at the time of posting, though it's important to remember that actual salaries may vary. Factors that determine the final salary offer include office location, experience , skills, and current organizational needs .

SENTA Partners is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other protected status.