Revenue Cycle Specialist II, RCM

The Revenue Cycle Specialist II calculates and posts receipts to the appropriate accounts, verifies transaction details, performs billing, posting, and collection of claims related to specific payers. In this role, you will report to the Accounts Receivable Manager, RCM. Duties / Responsibilities Monitor held billing and coordinate resolution of related issues to ensure timely claim submission Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed Understand and actively follow up on outstanding accounts receivable to minimize aging Work all assigned and denied claims promptly and accurately Assist in preparing and submitting appeals and reconsiderations to payers Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues Communicate with payers to obtain claim status and resolve outstanding balances Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested Assist with special projects, audits, or process improvement initiatives as assigned Identify trends related to denials/coding and delinquent claims and communicate effectively with client manager for feedback to the client Identify system/payer issues such as rates, codes, set up and coordinate accordingly Report status of accounts and issues to appropriate supervisors and departments—always maintain full transparency of accounts Follow requirements through the full cycle until accounts are satisfied, including patient collections and appeals Document, process and coordinate all write‑offs and adjustments as needed Work with contracting team and management to resolve payer issues Work with branches for all questions on accounts Attend regular meetings with teams and management to ensure open communication Perform other duties as assigned Required Skills, Abilities & Knowledge Excellent verbal, written and computer communication skills Ability to communicate across all levels of authority within the company Excellent organization, problem‑solving, and project/time‑management skills Ability to work with multiple teams within the organization to promote viable, ethical, and cost‑effective solutions Proven track record of successful collections Ability to effectively deal with change Ability to complete projects within specific timetables Ability to successfully interact with people in face‑to‑face situations as well as by telephone in a professional and effective manner Satisfactory background screens as required by State, Federal and Company policy (free of any OIG sanctions) Education / Experience / Licenses / Certifications Graduate of accredited high school or GED required. Minimum of two years of experience in health‑related accounts receivable and collections. Physical Requirements You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations. Requires the ability to write, dictate or use a keyboard to communicate directives. Utilizes proper body mechanics in multiple environments. Requires the ability to function in multiple environments. FLSA Status: Non‑Exempt Benefits & Perks of Joining the Team Family Medical, Dental, and Vision Insurance Paid Time Off and Paid Sick Time 401(k) Referral Program Pay Range $17.00 – $23.00 / hour Team Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. #J-18808-Ljbffr Team Select Services, LLC