RCM Specialist II

Ensora Health; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Ensora Health is seeking a detail-oriented RCM Specialist II to support behavioral health providers with claims processing and accounts receivable management. You will work closely with clinicians and practice owners to resolve billing challenges and improve financial outcomes.

The role emphasizes analytical problem solving, process improvement, and proactive account management in a fast-paced, collaborative environment. Prior experience in medical billing and payer requirements is preferred.

Qualifications

• 1 year of medical billing or revenue cycle management experience.
• 1 year of customer service, account management, or client-facing experience.
• Strong understanding of insurance 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

Account management

Analytical thinking

Problem solving

Communication

Education

Associate degree or equivalent

Tools

Billing systems

Reporting tools

Microsoft Office

Job description

Ensora Health is the leading provider of software and services for mental and behavioral health therapists, trusted by over 200,000 individual providers and more than 28,000 practices. Our unmatched expertise, partnership, and breadth of products allow us to fine-tune solutions that meet the specific needs of everyone from solo practitioners to larger practices. With AI-enabled solutions that span practice management to electronic medical records and e-prescribing to billing, we help eliminate administrative complexity and create harmony between therapists, their clients, and the whole healthcare community.

Job Description

At Ensora Health, our Revenue Cycle Management team plays a vital role in helping behavioral health providers focus on what matters most: delivering quality care to their clients. As an RCM Specialist II, you will serve as a trusted partner to clinicians and practice owners by managing accounts, resolving complex billing challenges, and driving positive financial outcomes.

We’re looking for someone who is detail-oriented, analytical, and forward-thinking, with a passion for problem-solving and continuous improvement. The ideal candidate embraces technology, seeks opportunities to optimize processes, and thrives in a collaborative, fast-paced environment where they can make a meaningful impact for customers.

What You’ll Do

• 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.

Required 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.
• Strong analytical and problem-solving skills with the ability to investigate issues and identify effective solutions.
• Excellent verbal and written communication skills with a customer-first mindset.
• Ability to manage multiple priorities while maintaining a high level of accuracy and attention to detail.
• Proficiency with billing systems, reporting tools, and Microsoft Office applications.

Additional Information

While we’ve outlined some key qualities we typically seek, it’s essential to remember that there might be additional unique strengths and talents you possess that would make you an exceptional match for us, even if they’re not explicitly mentioned. Studies have consistently highlighted the significance of this principle, particularly for individuals from disenfranchised backgrounds, including women and other marginalized groups. These individuals often hesitate to apply unless they meet every single requirement, unlike their male counterparts who are more inclined to apply when they meet around 60% of the criteria.

All your information will be kept confidential according to EEO guidelines.

At En** sora Health**, Diversity, Equity, Inclusion, and Belongingaren’t just words. We celebrate what makes us unique, fosteran ecosystem of inclusion for all and harness our talents topromote diversity of thought and action in everything we do.

We instill Diversity, Equity, Inclusion, and Belonging into thefabric of our CARING culture and business, as we strive tobe recognized not only as the leader in healthcaretechnology, but also for our intentional efforts to promote adiverse community.

We will champion non-discriminatory practices throughoutthe employee and customer lifecycle; caring for everyperson regardless of race, national origin, color, religion,disability, sex, orientation, or familial status.

Ensora Health is an equal opportunity employer.