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Niche US RCM skillset but metro location and mid-level experience increase applicant density.
Role requires US healthcare RCM, payer and coding knowledge, making skills poorly transferable across industries.
Explicit 5+ years US RCM requirement plus mandatory payer, coding, and AR domain expertise increases filter strictness.
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Manage and resolve daily operational Revenue Cycle Management (RCM) tasks using JIRA to maintain fast turnaround times.
Support AR and Appeal ticket management and administrative requests related to insurance and patient accounts.
Identify trends and suggest process improvements to enhance operational workflows and practice outcomes.
Bachelor’s degree in any field.
Minimum 5 years of experience in US Healthcare Revenue Cycle Management Accounts Receivable (AR).
Proven experience with Federal and Commercial insurance payers in a provider setting.
Strong knowledge of CPT, ICD-10, HCPCS coding, billing scrubbers, clearinghouses, and payer rejections.
Experienced in handling Medicaid/Medicare AR recovery (preferred specialization).
Comfortable working in fast-paced environments focused on operational efficiency within healthcare RCM.
Detail-oriented with ability to analyze trends and collaborate across teams based on managing daily operational RCM workflows.