Revenue Cycle Management (RCM) Specialist

North Country Family Health Center; Center (TX); On-site; USD 55,000 - 70,000; Full time

Job summary

North Country Family Health Center is seeking a Revenue Cycle Management (RCM) Specialist to support the full revenue cycle from claim preparation to denial management. You will help ensure accurate, timely billing, collections, and reimbursement for clinical services in a compliant manner.

The role requires an Associate's degree and 2–5 years of related experience, and you will collaborate with clinical, registration, coding, credentialing and finance teams to optimize revenue performance.

Qualifications

• Associate's degree in business management or related field.
• 2-5 years comparable work experience.

Responsibilities

• Prepare, submit and follow up on claims.
• Post payments, manage denials, and resolve accounts.

Skills

Analytical skills

Attention to detail

Collaborative

Education

Associate's degree in business management

Job description

Description
The Revenue Cycle Management (RCM) Specialist is responsible for supporting the full revenue cycle process to ensure accurate, timely, and compliant billing, collections, and reimbursement for clinical services. This role plays a critical part in maintaining the financial integrity of the organization by performing claim preparation, submission, follow-up, payment posting, denial management, and account resolution activities in accordance with federal, state, payer, and organizational guidelines.

Description
The Revenue Cycle Management (RCM) Specialist is responsible for supporting the full revenue cycle process to ensure accurate, timely, and compliant billing, collections, and reimbursement for clinical services. This role plays a critical part in maintaining the financial integrity of the organization by performing claim preparation, submission, follow-up, payment posting, denial management, and account resolution activities in accordance with federal, state, payer, and organizational guidelines.
The RCM Specialist works collaboratively with clinical, registration, coding, credentialing, and finance teams to optimize revenue performance, reduce accounts receivable, prevent revenue leakage, and ensure compliance with all regulatory and payer requirements. This position requires strong analytical skills, attention to detail, and a thorough understanding of healthcare billing regulations, payer contracts, and reimbursement methodologies.
Requirements
Associate's degree in business management or related field and 2-5 years comparable work experience.