RCM Specialist I
# RCM Specialist I **Heritage Behavioral Health Center** · United States · `Remote` · `Part Time` 💼 **Уровень роли:** `Entry-level` 💰 **Компенсация:** `$18 – $25` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Revenue-Cycle-Specialist]` `[Medical-Billing-Specialist]` `[Billing-Specialist]` `[Claims-Specialist]` `[RCM-Specialist]` `[Healthcare-RCM-Specialist]` --- ### About the Role Job Title: Revenue Cycle Management Specialist I Reports to: Revenue Cycle Manager Accountable to: Senior Director of Revenue Cycle Management Schedule: Monday–Friday, standard business hours FLSA Status: Non-Exempt Position Type: Part-Time Work Setting: Remote Position Overview: The Revenue Cycle Management (RCM) Specialist I performs foundational revenue cycle functions including claim follow-up, denial resolution, payment review, account research, and payer communication. This role supports timely claim resolution, accurate reimbursement, and departmental workflow needs. The Specialist I demonstrates working knowledge of revenue cycle processes while maintaining productivity, accuracy, and compliance standards. This position collaborates with team members to support overall departmental operations and contributes to a high-performing revenue cycle team. The Specialist I builds core skills needed for advancement into more complex revenue cycle responsibilities. Leadership & Team Expectations: - Model professionalism and accountability in all interactions - Communicate clearly and respectfully with payers, team members, and supervisors - Collaborate effectively to resolve account issues and support team workflows - Uphold Heritage’s mission and values in all work performed - Demonstrate reliability by consistently meeting productivity, quality, and attendance expectations - Engage in learning and skill development to support growth within the department Core Responsibilities Include: Claim Follow-Up & Resolution - Review and follow up on outstanding claims to ensure timely processing and reimbursement - Research and resolve claim issues, discrepancies, and payer requests - Submit corrected claims, appeals, or additional documentation as required - Communicate with payers to clarify claim issues and obtain resolution - Monitor claim status and ensure timely follow-up until payment or final determination Payment Review & Account Research - Review payments for accuracy and identify incorrect adjustments - Conduct account research to determine next steps for unresolved claims - Document all actions clearly and accurately in the appropriate systems Documentation & Compliance - Maintain accurate documentation for all account activity - Ensure compliance with billing regulations, payer requirements, and internal policies - Protect PHI and follow all HIPAA standards at all times - Save all work files to the shared R: Drive in accordance with data security requirements Team Support & Workflow - Assist with workflow needs and process updates as directed - Support team communication and coordination - Perform other duties as assigned consistent with this role Performance Expectations / What Success Looks Like: The Revenue Cycle Management Specialist I will be successful in this role when: - Claims are followed up on promptly and resolved efficiently - Documentation is accurate, complete, and timely across all accounts - Denials are reduced through effective follow-up and corrective action - Team members view this person as reliable and communicative - Productivity and quality standards are consistently met or exceeded - Remote work expectations are consistently met, including responsiveness, workspace compliance, and availability Knowledge, Skills and Abilities: Knowledge of: - Revenue cycle processes including claim follow-up, denial management, and payment review - Basic payer rules, denial types, and insurance processes - HIPAA regulations and PHI protection requirements - Electronic health record (EHR) or billing system fundamentals Skills and Abilities: - Strong written and verbal communication skills with payers and internal teams - Ability to problem-solve and research account issues independently - Strong organizational skills and attention to detail - Ability to work independently and meet productivity expectations in a remote environment - Ability to manage competing priorities in a fast-paced workflow Education and Experience: Required: - High school diploma or equivalent - Experience in revenue cycle, medical billing, accounts receivable follow-up, or denial management - Demonstrated ability to meet productivity and quality expectations Preferred: - Experience in behavioral health or community health settings - Familiarity with Medicaid, Medicare, and commercial payers - Experience with EHR or billing platforms such as Netsmart, Epic, or similar Note: Equivalent combination of education and experience will be considered. Physical Requirements and Working Conditions: - Ability to sit and work at a computer for extended periods - Reliable high-speed internet connection required - Must maintain a private, secure, and HIPAA-compliant remote workspace free from interruptions - Ability to maintain focus and productivity in a remote environment - Must follow all Heritage remote work, HIPAA, and data security requirements Originally posted on Himalayas
- Revenue-Cycle-Specialist
- Medical-Billing-Specialist
- Billing-Specialist
- Claims-Specialist
- RCM-Specialist
- Healthcare-RCM-Specialist
Наблюдалась 2026-10-10, впервые 2026-10-10, источник — Himalayas (JSON API).