RCM Specialist

Job Description

Job Description

RCM Specialist 

Mosaic Group, LLC, the leading provider of ABA services in North Carolina, provides life-changing behavioral therapy to children with autism.  Our mission is to expand the reach of our services to touch the lives of more children and their families in NC.

Mosaic is seeking a full-time RCM Specialist to join our growing team and assist in different areas of billing for our applied behavior analysis service line.  The individual must maintain a high degree of confidentiality and professionalism to work successfully with staff members, clients, and payors. This individual will be responsible for the submission of and follow-up on claims to insurance companies including commercial payors and Medicaid.

The primary responsibilities of the position include:

·     File initial and secondary insurance claims electronically via EMR software.

·     Post payments and reconcile claims.

·     Research and resolve claim issues/denied claims with payors.

·     Proactively manage accounts receivable.

·     Investigate and resolve payment recoupment requests.

Education, Experience, and Skills:

Excellent organization, analytical and problem-solving skills.

Experience using electronic medical record applications (Central Reach preferred).

Working knowledge of HIPAA regulations

Excellent interpersonal skills, good oral and written communication skills

Good organization and time management skills

Must have good working knowledge of Microsoft Office and/or equivalent G-suite applications (Word, Excel)

A minimum of 2 years of outpatient medical billing experience (prior billing experience in applied behavior analysis a plus)

Why join Mosaic?

Our People Love It Here!Mosaic ranks in the top 5% of all healthcare companies in employee satisfaction (source: Peakon benchmarking)

Collaborative Work Environment: Our entire team, from top to bottom, is dedicated to the overall growth of the organization and promotes a collaborative and supportive environment.

Work/Life Balance: Our hours of operation are 8 am-6 pm…NO NIGHTS NO WEEKENDS!

Comprehensive Benefits: Mosaic provides a robust benefits package including medical, dental, and vision plans; short-term disability; company 401k with match, competitive compensation plans, paid holidays, and plus 15 days of Paid Time Off accrued annually, beginning at hire.   

Mosaic Group, LLC is an Equal Opportunity Employer

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.