RCM Case Management Specialist

Job Summary

A company is looking for an RCM Case Management Specialist to manage claims processing and resolve insurance claim denials.

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 to streamline workflows and resolve billing issues, utilizing denial analysis tools

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 is highly preferred
• Strong understanding of credentialing and enrollment as it relates to claims processing required