RCM Accounts Receivable Specialist

Job Summary

To enhance revenue cycle performance, the full-time RCM Accounts Receivable Specialist will resolve outstanding insurance accounts receivable through proactive follow-up, denial management, and payer communication in a remote setting.

Key responsibilities

• Manage a portfolio of outstanding insurance accounts receivable, ensuring timely follow-up and resolution of unpaid or underpaid claims
• Perform end-to-end denial management, including researching claim denials, identifying root causes, and submitting appeals
• Analyze denial patterns and reimbursement trends to identify opportunities for process improvement and revenue recovery

Required qualifications

• High school diploma or GED
• Minimum of 1 year of healthcare accounts receivable, medical billing, or denial management experience
• Advanced Microsoft Excel skills, including VLOOKUPs/XLOOKUPs, Pivot Tables, and spreadsheet management
• Strong proficiency in Microsoft Outlook for managing high-volume email communications
• Understanding of insurance reimbursement processes, claim adjudication, and Medicare/Medicaid requirements