Strategic RCM Coordinator: Billing & Denials Navigator

SCIOMETRIX INC; New Jersey; On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

SCIOMETRIX INC is seeking a highly organized RCM Coordinator to join our Revenue Cycle Management team in Somerset, NJ. The role acts as an operational hub between coding, billing, clinical staff, and payers to ensure the revenue cycle runs smoothly from patient encounter to payment posting.

Responsibilities include daily coordination, tracking claims, denial management, and ensuring documentation quality. On-site requirement in Somerset, with emphasis on collaboration across departments and

Qualifications

• High school diploma or equivalent; Associate's degree preferred.
• 4–6 years of experience in medical billing, revenue cycle, or healthcare administration coordination.
• Working knowledge of ICD-10, CPT, HCPCS coding concepts, and payer billing requirements (Medicare, Medicaid, Commercial).
• Proficiency with EMR/EHR and practice management/billing software; strong Microsoft Office/Outlook skills.
• Excellent written and verbal communication; able to handle high email and phone volume with cross-team follow-up.
• Strong organizational skills and attention to detail in a deadline-driven RCM environment.
• Ability to multitask, prioritize, and track multiple open items to resolution.

Responsibilities

• Monitor and manage the shared RCM/billing mailbox daily and triage payer correspondence, denial notices, patient inquiries, and internal requests.
• Serve as the first point of contact for questions from internal clinical and administrative staff.
• Coordinate communication between coders, billers, physicians, nurse practitioners, and payers to resolve documentation gaps or holds.
• Maintain and update trackers and share status updates with the RCM Manager.
• Make outbound calls to patients to verify insurance coverage and update account information.
• Track claims through the full billing cycle and review edits, rejections, and reports to route corrections.
• Support timely charge entry and claims submission by ensuring encounters, documentation, and coding are ready for billing.
• Assist with insurance verification, eligibility checks, and prior authorization tracking as needed.
• Help prepare and distribute daily/weekly RCM reports.
• Log and categorize denials, escalate recurring issues, and support timely appeals and resubmission.
• Follow up on aged accounts receivable and document all activity in the PM/EHR system.
• Identify workflow bottlenecks and recommend improvements to reduce denials and improve acceptance rates.
• Ensure coordination activities comply with HIPAA and telehealth billing guidelines; stay current on payer policy changes.

Skills

Medical billing

RCM coordination

HIPAA compliance

Communication skills

Multitasking

Education

High school diploma

Associate's degree in healthcare administration

Tools

EMR/EHR systems

Practice management software

Microsoft Office

Job description

SCIOMETRIX INC is seeking a highly organized RCM Coordinator to join our Revenue Cycle Management team in Somerset, NJ. The role acts as an operational hub between coding, billing, clinical staff, and payers to ensure the revenue cycle runs smoothly from patient encounter to payment posting.

Responsibilities include daily coordination, tracking claims, denial management, and ensuring documentation quality. On-site requirement in Somerset, with emphasis on collaboration across departments and