RCM Case Management Specialist

Job Summary

A company is looking for an RCM Case Management Specialist to manage claims processing and resolution.

Key Responsibilities

• Manage the full cycle of Salesforce cases related to RCM inquiries, ensuring documentation and resolution within SLAs
• Monitor trends in practice inquiries and report on case resolution efficiency to leadership
• Collaborate with internal teams and care center staff to streamline workflows and resolve billing issues

Required Qualifications

• High School Graduate
• 3+ years of experience in a medical billing office or equivalent claims experience
• Advanced Microsoft Excel skills preferred
• Experience with athenaHealth/athenaOne and Salesforce Case Management is highly preferred
• Understanding of revenue cycle performance and ability to resolve complex claim issues