RCM Specialist II — Behavioral Health Billing

Ensora Health; North Dakota; Sur place; USD 52 000 - 68 000; Plein temps

Résumé du poste

Ensora Health is seeking an RCM Specialist II to support clinicians and practice owners by managing accounts, resolving complex billing issues, and driving healthy financial outcomes.

The ideal candidate is detail-oriented and analytical, with experience in medical billing and revenue cycle management, and comfortable using billing systems and reporting tools. Join a fast-paced, collaborative team focused on continuous improvement and customer success.

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.

Responsabilités

• 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.

Connaissances

Medical billing

Customer service

Accounts receivable

Analytical thinking

Communication

Multitasking

Formation

Associate degree or equivalent

Outils

Billing systems

Reporting tools

Microsoft Office

Description du poste

Ensora Health is seeking an RCM Specialist II to support clinicians and practice owners by managing accounts, resolving complex billing issues, and driving healthy financial outcomes.

The ideal candidate is detail-oriented and analytical, with experience in medical billing and revenue cycle management, and comfortable using billing systems and reporting tools. Join a fast-paced, collaborative team focused on continuous improvement and customer success.