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Medium competition: mid-level, metro location, and recognizable employer balanced by specialized RCM skill requirements.
High because RCM, payer, and coding expertise are highly healthcare-specific and not widely transferable.
High strictness due to explicit 5+ years requirement and mandatory payer, coding, and AR experience.
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Own rapid resolution of operational RCM tasks using JIRA to maintain fast turnaround and support AR and Appeal processing.
Resolve daily operational issues including insurance corrections, balance inquiries, patient ledger reconciliations, and administrative requests.
Identify trends and suggest system/process improvements to enhance operational workflows and practice outcomes.
Bachelor's degree in any field.
5+ years of US Healthcare Revenue Cycle Management (RCM) Accounts Receivable (AR) experience.
Experience with both Federal and Commercial insurance payers in a provider setup.
Strong knowledge of CPT, ICD-10, HCPCS coding; billing scrubbers; clearinghouses; payer rejections; and major AR scenarios.
Experienced in managing Medicaid/Medicare AR recovery (preferred but not mandatory).
Skilled in handling high-volume, fast-paced operational tasks with attention to detail and accuracy.
Capable of working cross-functionally to improve RCM workflows and contribute to process excellence.