RCM Specialist

Job Description

Job Description

Revenue Cycle Management (RCM) Specialist

Join a team that makes a difference every day.

At KVC, we believe great care starts with great people. We're seeking a detail-oriented and motivated Revenue Cycle Management (RCM) Specialist to support our financial operations and help ensure the accuracy and efficiency of our billing, collections, payment posting, and accounts receivable processes.

Hybrid Schedule: Work from home with an in-office commitment of 3 days per week.

Indeed Work Wellbeing Score: 83

If you have healthcare billing experience, strong analytical skills, and enjoy solving problems while working collaboratively, we'd love to hear from you.

• High school diploma or equivalent

• Valid driver's license and auto insurance

• At least one year of experience in healthcare financial services, customer service, claims processing, or medical billing

• Proficiency with Microsoft Office applications

• Strong verbal and written communication skills

• Proficiency in Microsoft Word, Excel, and Outlook

• Excellent analytical and problem-solving abilities

• Strong attention to detail and organizational skills

• Ability to prioritize and manage multiple tasks in a fast-paced environment

• Monitor accounts receivable reports and ensure claims are paid according to contracted rates

• Identify and report irregular insurance payments

• Investigate and resolve credit balances, denials, and claim rejections

• Submit appeals and corrected claims when necessary

• Prepare and distribute monthly client statements

• Respond to billing inquiries and provide exceptional customer service

• Assist with financial aid applications and payment plan coordination

• Stay informed on payer policy updates and changes

• Develop relationships with payer representatives and provider relations contacts

• Review accounts to ensure accurate and timely claim submission

• Submit professional and institutional electronic claims

• Prepare and submit paper claims as needed

• Create and follow up on invoices for single-case agreements

• Perform charge entry and account maintenance

• Collaborate with internal departments to obtain and verify account information

• Download, scan, and maintain insurance remittance documentation

• Perform daily cash management activities, including deposits and payment tracking

• Review and verify adjudication details prior to posting

• Post and reconcile payments, adjustments, and transfers

• Utilize reporting tools to ensure posting accuracy and balance

• Work with payer contacts to resolve payment questions and discrepancies

• Strong organizational and time-management skills

• Ability to adapt to changing priorities and processes

• Commitment to accuracy and confidentiality

• Initiative, accountability, and ownership of your work

• Ability to identify trends and recommend improvements

• Team-oriented mindset with a collaborative approach

Our mission is centered on helping children, families, and communities thrive. We are guided by values that emphasize compassion, authenticity, collaboration, innovation, urgency, and respect for diverse perspectives.

Team members are expected to:

• Maintain the highest standards of professionalism and confidentiality

• Follow all HIPAA regulations and company policies

• Participate in ongoing training and professional development

• Support continuous improvement initiatives

• Serve as a positive role model and solution-focused team member

• Hybrid work environment with 3 in-office days per week

• Meaningful work that impacts lives

• Collaborative and supportive team environment

• Opportunities for professional growth and development

• Comprehensive training and cross-training opportunities

• A mission-driven culture where your contributions matter

If you're ready to bring your healthcare revenue cycle expertise to an organization committed to excellence and service, apply today.