RCM Specialist II: Behavioral Health Billing Pro

Ensora Health; East Windsor Hill (CT); On-site; USD 55,000 - 75,000; Full time

Job summary

Ensora Health is seeking a detail-oriented RCM Specialist II to manage accounts, resolve complex billing challenges, and drive positive financial outcomes for behavioral health providers.

The ideal candidate will bring experience in medical billing, revenue cycle management, and strong analytical/problem-solving skills within a collaborative, fast-paced environment. Join a team focused on delivering quality care and operational excellence.

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.

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.

Skills

Medical billing

Revenue cycle management

Customer service

Analytical thinking

Attention to detail

MS Office

Education

Associate degree or equivalent

Tools

Billing systems

Reporting tools

Microsoft Office

Job description

Ensora Health is seeking a detail-oriented RCM Specialist II to manage accounts, resolve complex billing challenges, and drive positive financial outcomes for behavioral health providers.

The ideal candidate will bring experience in medical billing, revenue cycle management, and strong analytical/problem-solving skills within a collaborative, fast-paced environment. Join a team focused on delivering quality care and operational excellence.