Revenue Cycle Management, RCM Specialist

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $31 - $39 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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CAN Community Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🤝 Non-profit

🌍 Social Impact

Healthcare • Non-profit • Social Impact

CAN Community Health is a not-for-profit, community-based organization dedicated to empowering, educating, and advocating for individuals affected by HIV, STDs, and Viral Hepatitis. Founded in 1991 in Sarasota, Florida, CAN has grown into a national healthcare provider with clinics across several states, offering specialized medical care for over 30 years. The organization provides various essential services, including HIV and STI testing, PrEP, primary care, dental services, and harm reduction education, all accessible regardless of the patients' ability to pay. With a focus on inclusivity and quality healthcare, CAN aims to lower infection rates and improve the quality of life in the communities it serves.

📋 Description

• Support the financial integrity of the organization through payment reconciliation, accounts receivable follow-up, refund and credit processing, payment posting reconciliation, reporting, auditing, and billing support • Ensure accurate revenue cycle operations, timely issue resolution, and effective collaboration with internal teams, vendors, patients, and external partners • Promote and practice the organization’s mission and values and follow its policies and procedures • Maintain confidentiality regarding patient/client information in accordance with HIPAA, professional, and departmental standards • Assist with RCM processes and process improvements • Proactively maintain knowledge of billing systems and processes, including EMR workflows and Clearinghouse vendors • Process credits and refunds accurately and efficiently and maintain records of credit/refund transactions • Participate in monitoring claim status volumes and assist with auditing activities • Follow up on denied, unpaid, or rejected claims and resolve billing issues • Assist with month-end reporting and reconciliation of payments and disbursements • Communicate with patients, healthcare providers, insurance companies, and third-party administrators regarding billing processes, inquiries, and discrepancies • Respond to internal and external stakeholder inquiries regarding billing issues • Coordinate and fulfill revenue cycle provision requests from R1 as needed

🎯 Requirements

• Bachelor’s degree in healthcare and/or business arena or equivalent experience • Three-Five years minimum of RCM experience • Must be able to operate a motor vehicle • Valid insurance and driver’s license required • Must be able to pass a Level I and Level II Background check as required • Ability to maintain confidentiality of patient/client information in accordance with HIPAA, professional, and departmental standards • Knowledge of billing systems and processes, including workflows in EMR systems and Clearinghouse vendors

🏖️ Benefits

• Competitive pay • Generous paid PTO and Sick time • 11 Paid Company Holidays • Paid training and certification support • Health, dental, vision, with generous company contribution • Paid life and disability plans • Retirement plan with generous match of up to 8% of your contribution and additional match of 1% • Tuition Reimbursement Plan • Other voluntary plans to support you and your family • Career growth opportunities in a supportive environment