RCM Specialist II - Medical Billing & Denials

Ensora Health; Lorida (FL); On-site; USD 45,000 - 65,000; Full time

Job summary

Ensora Health in the United States is seeking an RCM Specialist II to manage accounts, resolve billing challenges, and drive strong financial outcomes for behavioral health providers.

You will own the AR process for assigned accounts, leverage analytics, and collaborate with clinicians, practice owners, and customers to improve denial resolution and reimbursement performance. Detail-oriented and tech-savvy, you will thrive in a fast-paced environment and deliver exceptional service.

Qualifications

• Associate degree or equivalent combination of education and experience.
• At least 1 year of medical billing or revenue cycle management experience.
• At least 1 year of customer service or client-facing experience.
• Strong understanding of insurance and behavioral health billing.
• Proficiency with billing systems and Office apps.

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

Analytical thinking

Problem-solving

Communication skills

Customer-focused

Education

Associate degree

Tools

Billing systems

Reporting tools

Microsoft Office

Job description

Ensora Health in the United States is seeking an RCM Specialist II to manage accounts, resolve billing challenges, and drive strong financial outcomes for behavioral health providers.

You will own the AR process for assigned accounts, leverage analytics, and collaborate with clinicians, practice owners, and customers to improve denial resolution and reimbursement performance. Detail-oriented and tech-savvy, you will thrive in a fast-paced environment and deliver exceptional service.