RCM AR Specialist

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🕒 April 17

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Logo of Careficient, Inc.

Careficient, Inc.

51 - 200 employees

Founded 2016

☁️ SaaS

🤝 B2B

SaaS • B2B

Careficient, Inc. is a healthcare-focused software company that provides a comprehensive, cloud-based EMR (electronic medical record) and agency management platform for home health, hospice, and other post-acute care providers. Their SaaS solution integrates clinical documentation, scheduling, payroll, revenue cycle management, electronic visit verification (EVV), payer eligibility and authorization tracking, interoperability with partners, and purpose-built AI automation to streamline workflows, improve compliance, and accelerate billing and collections. The platform is designed by healthcare professionals and marketed to agencies seeking an all-in-one system to replace multiple tools and optimize operational efficiency.

📋 Description

• Timely and accurate payment posting within applicable EMRs. • Review and reconciliation of payments for accuracy. • Research Accounts Receivable to seek resolution on outstanding balances. • Coordinate consistently with co-workers to investigate and resolve denied claims and return corrected claims to the insurer quickly. • Work with representatives of insurance companies (including Medicare and Medicaid) to resolve payment discrepancies. • Consistent reporting from EMRs and other sources. • Understanding of accounts receivable and general accounting. • Provide exceptional customer service to all clients.

🎯 Requirements

• High School diploma or general education degree. • 3+ years of experience in one or more aspects of the medical revenue cycle management, accounts receivable, accounting, or payment posting. • Excellent customer service skills, and collaboration with team members. • Exceptional problem-solving abilities and attention to detail particularly as it relates to claim investigation, payment posting and reconciliation. • Knowledge of Microsoft Office Suite. • Knowledge of insurance guidelines for all applicable players.

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