RCM Specialist II

Job Summary

Working remotely on a full-time basis, the RCM Specialist II will manage accounts receivable follow-up, payment posting, and auditing to ensure accurate financial records and timely resolution of outstanding balances.

Key Responsibilities

• Perform all assigned RCM activities in accordance with best practices and internal SOPs
• Conduct AR follow-up to resolve unpaid or underpaid claims and audit accounts for accurate claim submission and payment application
• Collaborate with internal teams to ensure clean claims and quick resolution of issues while maintaining compliance with HIPAA and payer guidelines

Required Qualifications

• Prior experience in dental office workflows and revenue cycle functions, including insurance verification and payment posting
• Knowledge of reimbursement and compliance processes with various payors
• Experience with practice management software systems and strong proficiency in MS Office, particularly Excel
• Organizational skills with a proven attention to detail and strong analytical capabilities
• Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred