Revenue Cycle Management (RCM) Specialist

Revenue Cycle Management (RCM) Specialist

Location: Garden City| Schedule: Full Time 35 hours per week, Monday-Friday| Status: Exempt | Salary Range: $70,000 - $80,000

The Opportunity

FCA is excited to announce an opportunity for the position of Revenue Cycle Management (RCM) Specialist. We are seeking a highly organized, analytical, and collaborative professional to support and strengthen our revenue cycle operations.

The ideal RCM Specialist will serve as the internal lead for coordinating revenue cycle functions performed by an outsourced billing vendor while acting as a key liaison between internal departments and external partners, including payers and vendors. This role will play a critical part in ensuring accurate, compliant, and efficient billing operations, optimizing reimbursement, and leveraging Electronic Health Record (EHR) functionality to improve financial performance and operational workflows.

Specifically, the responsibilities and qualifications of the position include:

Responsibilities

• Serve as the primary internal liaison with the outsourced billing vendor to ensure timely, compliant, and accurate revenue cycle operations.

• Monitor vendor performance, identify gaps, and implement corrective actions to improve billing outcomes.

• Maintain accountability for daily revenue cycle functions including claims submission, payment posting, and denial management.

• Act as the formal point of contact between the EHR Administrator and billing-related external stakeholders.

• Coordinate and support EHR billing workflows, ensuring process alignment and resolving issues between programmatic and fiscal operations.

• Update and maintain EHR billing data controls, ensuring data integrity and compliance.

• Identify business challenges and design billing solutions that leverage EHR system capabilities.

• Analyze financial and operational data, including denial trends, and implement sustainable solutions through quality improvement initiatives.

• Collaborate with insurance payers to resolve discrepancies, underpayments, and billing errors.

• Respond to inquiries from patients, staff, and insurance providers regarding billing issues.

• Coordinate credentialing with new insurance companies, update existing payer contracts, support rate negotiations, and maintain payer enrollment records.

• Manage billing-related database accounts, permissions, and user access.

Qualifications

• Education: Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field.

• Experience: 3 to 5 years of medical billing, coding, or accounts receivable experience.

• Leadership: 1 to 2 years of experience as a supervisor or team lead managing a billing staff.

• Payer Knowledge: Deep understanding of Medicare, Medicaid, and commercial insurance billing regulations.

• Technical Skills: Proficiency in EHR/billing systems (e.g., Epic, eClinicalWorks) and intermediate MS Excel.

• Certifications: CRCR, CPB, or CPC credentials are a strong plus but not required.

Compensation Information

• The competitive compensation range is reflected with FCA's framework, culture, and values. Individual pay decisions will vary based on skills and experience, while still allowing for growth.

Additional Information

• Salary: $70,000 - $80,000

• Schedule: (M-F), evening and weekend hours, as needed

• This role is full-time (35 hours/week), Exempt

Benefits Information

• Full Health/Dental/Vision Insurance

• Generous, vacation, sick, personal, and floating holiday time

• 403(b); with generous employer contribution

• Flexible Spending Account (FSA)

• Pet Insurance

• Short Term (STD) and Long Term (LTD) Disability Insurance

• Life Insurance

• Employee Assistance Program (EAP)

• Counslr

FCA is proud to be an equal opportunity employer! We celebrate diversity and are committed to creating an inclusive environment for all employees.

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