rcm specialist

HealthRev Partners

<div><p><b>Job Summary:</b></p><p></p><p><br>
The <b>RCM Specialist for Home Health &amp; Hospice</b> plays a crucial role in ensuring the efficient and accurate processing of claims and patient accounts, contributing to the organization's financial health. They possess a comprehensive understanding of revenue cycle processes and demonstrate expertise in resolving complex claims and patient billing issues.</p><br>
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<p><b>
Essential Duties and Responsibilities:</b></p>
<ul>
<li>Lead and optimize the full revenue cycle process from billing the claim to final payment collection.</li>
<li>Collaborate with the RCM team to maintain a clean and compliant revenue cycle.</li>
<li>Generate claims accurately from EMR system to clearinghouse and monitor the claim following HRP standard protocol.</li>
<li>Resubmit claims corrected as needed and communicate issues that need to be resolved.</li>
<li>Communicate unbilled and billed claim holds to Team Leader or RCM Manager.</li>
<li>Analyze and resolve complex claims denials and appeals.</li>
<li>Investigate and address patient billing discrepancies and disputes.</li>
<li>Identify and implement strategies to improve revenue cycle performance as needed.</li>
<li>Collaborate with cross-functional teams to implement and manage assigned RCM accounts.</li>
<li>Participate in revenue cycle audits and compliance reviews (quality review checks).</li>
<li>Develop and maintain accurate and up-to-date documentation of all claims and patient accounts.</li>
<li>Provide training and support to other RCM team members.</li></ul><br>
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<p><b>
Key Performance Indicators (KPIs):</b></p>
<ul>
<li>Clean claim rate &gt;95%</li>
<li>Aged AR &lt; 20% of total AR</li>
<li>Meets productivity expectation of 45 non-Medicare claims per day or 75 Medicare</li>
<li>Net collection rate of &gt;95%</li>
<li>Meets and passes 100% of quality review checks completed by RCM Manager</li></ul><br>
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<p><b>
Qualifications:</b></p>
<ul>
<li>3&ndash;5 years of experience in revenue cycle management in the home health and hospice realm</li>
<li>Proficient in Microsoft Office Suite 365</li>
<li>Proficient in home health and hospice electronic health records (EHR) systems</li>
<li>Strong understanding of insurance billing and coding procedures</li>
<li>Excellent communication, problem-solving, and analytical skills</li>
<li>Ability to work independently and as part of a team</li>
<li>Proven track record of success in resolving complex claims and patient billing issues</li></ul><br>
<p></p>
<p><b>
Benefits:</b></p>
<ul>
<li>Competitive salary and comprehensive benefits package, including health insurance, dental insurance, vision insurance, paid time off, and 401k savings plan</li>
<li>Opportunity to work in a dynamic and growing healthcare organization</li>
<li>Professional development and training opportunities</li>
<li>Contribution to the organization's financial success and patient satisfaction</li></ul></div>

RCM Specialist- Home Health and Hospice

Agnite Health LLC

<p>Agnite Health LLC is a progressive, innovative ophthalmology billing company and is in immediate need of experienced ophthalmic billers. Experience preferred with key PM systems: Nextech Select, Nextech Practice +, OpenPM, AdvancedMD, ModMed, and NextGen.</p><p><b>Role Description</b></p><p>This is a full-time, remote position for an Ophthalmology Billing Specialist. Responsibilities include overseeing the revenue cycle management process; such as posting payments, charges, working denials, actively working with carriers to ensure timely and accurate payment processing, helping patients understand statements, while maintaining communication with clients and team members.</p><p>Excellent company, starting salary based on experience, great benefits and working conditions.</p><p><i>Qualified individuals with ophthalmology billing and coding experience should apply.</i></p><p><b>Qualifications</b></p><p>Ideal candidates will be highly motivated, self-directed and dedicated to the successful completion of all billing and collection goals. At least 2 years&rsquo; experience in ophthalmology billing, coding and collections preferred.</p><ul><li>Proficiency in the Billing Process with strong attention to accuracy and detail</li><li>Experience in Client Billing and ensuring compliance with relevant billing standards</li><li>Understanding of Accounting principles and ability to work with financial data</li><li>Excellent Communication skills for collaborating with team members and interacting with clients</li><li>Proficient in billing systems and related software tools</li><li>Ability to manage multiple tasks efficiently and meet deadlines</li><li>Prior experience in ophthalmology billing or healthcare billing is a plus</li><li>High school diploma or equivalent; additional certifications in billing or accounting are favorable</li></ul><p>Job Type: Full-time</p><p>Pay: $20.00 - $24.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>ophthalmology: 2 years (Required)</li></ul><p>Work Location: Remote</p>

Ophthalmic Revenue Cycle Management (RCM) Specialist

Medstar Healthcare LLC

<p><b>Accumed &amp; Fatorah</b> is actively Hiring: <b>OP Medical Coder</b> &ndash; Relocation to UAE (Sharjah)(Omega / E4E experience)</p><p>We are looking for OP Medical Coders who are willing to relocate to Sharjah, UAE and join the best RCM team.</p><p><b>Kindly Note:</b> Candidates must have experience working with Omega or E4E (Mandatory) to be considered. There will be 2 rounds of Interview, the 1st interview will be an Online OP Coding Assessment and final round will be an online Interview with our RCM Director &amp; Coding Manager.</p><p>Location: Sharjah, UAE</p><p>Shift: Rotational shifts including Night Shift</p><p>Experience Required: 3&ndash;5 years of hands-on medical coding experience</p><p>Certification: CPC or CCS Certification is mandatory</p><p><b>Eligibility Criteria:</b></p><p>✔ Candidates must have prior experience working with Omega or E4E (Mandatory)</p><p>✔ Strong experience in Outpatient (OP) coding</p><p>✔ Good understanding of ICD-10, CPT, and HCPCS coding standards</p><p>✔ Experience handling insurance and claims-related coding processes</p><p>✔ Willingness to relocate to UAE</p><p>Language Requirements:</p><p>✔ Candidates must be able to communicate in English</p><p>✔ Hindi, Tamil, or Telugu speaking candidates are preferred</p><p><b>Key Responsibilities:</b></p><p>Review and accurately code outpatient medical records and procedures</p><p>Ensure coding accuracy and compliance with healthcare regulations and insurance guidelines</p><p>Work closely with physicians and internal teams to clarify documentation when required</p><p>Maintain productivity and quality standards within assigned timelines</p><p>Identify coding discrepancies and support denial prevention initiatives</p><p>Stay updated with coding regulations and payer requirements</p><p><b>Preference:</b></p><p>Candidates who are willing to work in over night shifts</p><p>Immediate joiners or candidates with short notice periods are preferred</p><p>Interested candidates may share their updated CV for further review.</p><p><b>Benefits from the company:</b></p><p>Salary budget is AED 4k to 5.5k (All Included). All depends on assessment score and interview feedback.</p><p>Visa and Medical Insurance is provided by the company.</p><p>Yearly flight ticket allowance provided by the company.</p><p>Professional work environment with career development.</p><p>Pay: AED4,000.00 - AED5,500.00 per month</p><p>Work Location: In person</p>

OP Medical Coder (Omega / E4E experience)

Aspen Dental

<div><p>The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
</p><p></p><p>As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as a Revenue Cycle Management Specialist.</p><p></p><p><b>
Essential Responsibilities</b></p><ul><li><p>
RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail.</p></li><li><p>
Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals.</p></li><li><p>
Partners with internal departments to resolve issues related to all tasks and assignments supporting the business.</p></li><li><p>
Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries.</p></li><li><p>
Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting.</p></li><li><p>
Plans, organizes, and executes tasks and activities with urgency and in accordance with managers&rsquo; delegated assignments.</p></li><li><p>
Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns.</p></li><li><p>
May be required to meet position related productivity and quality standards.</p></li><li><p>
Other duties as assigned.</p></li></ul><p></p><p><b>
Requirements/Qualifications</b></p><ul><li><p>
Level: High School diploma or equivalent</p></li><li><p>
Job related/Industry experience preferred</p></li><li><p>
Excellent verbal and written communication skills</p></li><li><p>
Excellent organizational and time management skills</p></li><li><p>
Excellent problem solving/analysis collaboration</p></li><li><p>
Self-motivated individual with strong attention to detail</p></li><li><p>
Leadership experience preferred</p></li></ul><p></p><p>
A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match</p><p>
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Hourly pay range: $19-22/hr</p></div>

Revenue Cycle Management Specialist

eBillingWorks

<p>Are you a high-energy sales hunter who knows how to open doors with US healthcare providers? Do you thrive on the thrill of the chase, researching leads, and getting doctors or practice managers on the phone? If yes, we want you.</p><p><b>eBillingWorks</b> is an established, rapidly growing Medical Billing &amp; Revenue Cycle Management (RCM) company. We are expanding our sales operations and looking for an aggressive, results-driven <b>Sales &amp; Lead Generation Specialist</b> to fuel our pipeline.</p><p>CRITICAL &ndash; PLEASE READ BEFORE APPLYING: &gt; This is a SALES AND LEAD GENERATION position. If you are looking for a medical billing, medical coding, or Accounts Receivable (AR) follow-up job, DO NOT APPLY. We are only hiring individuals with a proven track record in sales, outbound calling, and business development.Key Responsibilities</p><ul><li><b>Lead Generation &amp; Research:</b> Actively source, research, and build highly targeted lead lists of US-based clinics, private practices, and doctors using various digital platforms and databases.</li><li><b>Cold Outbound Outreach:</b> Conduct heavy outbound cold calling and email campaigns targeting Practice Managers, Billing Managers, and Clinic Owners.</li><li><b>Appointment Setting:</b> Pitch our high-value RCM services, handle initial objections, and successfully schedule qualified sales appointments/demos for our closing team.</li><li><b>Pipeline Management:</b> Maintain and update tracking logs or CRM data to ensure meticulous follow-up with potential leads.</li></ul><p>Requirements &amp; Qualifications</p><ul><li><b>Experience:</b> Minimum 1&ndash;2 years of direct experience selling medical billing services, RCM solutions, or healthcare IT products to US clinics and doctors.</li><li><b>Outbound Mastery:</b> Proven experience in cold calling US healthcare providers. You must be comfortable handling gatekeepers and speaking directly with decision-makers.</li><li><b>Communication:</b> Exceptional verbal and written English communication skills with a neutral or professional accent.</li><li><b>Tech Savvy:</b> Proficient in searching for leads across various platforms (LinkedIn, Google, medical directories) and working with CRM tools.</li><li><b>Mindset:</b> Highly resilient, self-motivated, and target-driven.</li></ul><p>How to Apply</p><p>If you have the stamina for outbound sales and a track record of selling to US doctors, submit your resume today on <b>WhatsApp +92308-4949850</b>. Please include a brief note outlining your specific experience in medical billing sales.</p><p>Job Type: Full-time</p><p>Pay: Rs50,000.00 - Rs100,000.00 per month</p><p>Work Location: Hybrid remote in Lahore</p>

Medical Billing Sales Representative / BDM (Outbound & Lead Gen)

Atlantis BPO Solutions Private Limited

<p><b>Job Title:</b> Client Relationship Manager (CRM)<br/><b>Company:</b> Atlantis Tech<br/><b>Location:</b> Islamabad, Pakistan <i>(Onsite)</i><br/><b>Job Type:</b> Full-Time | Night Shift (US Hours) | 6:00 PM &ndash; 3:00 AM</p><p><b>About the Role:</b></p><p>Atlantis Tech is looking for a dynamic <b>Client Relationship Manager</b> who can confidently manage client communication while understanding <b>Sales and Complete Revenue Cycle Management (RCM)</b>. This role is ideal for someone who can build strong relationships, manage client expectations, identify growth opportunities, and coordinate with operational teams to deliver exceptional service.</p><p><b>Key Responsibilities:</b></p><ul><li>Manage and maintain relationships with US-based healthcare clients</li><li>Lead client calls, meetings, follow-ups, and account management</li><li>Support RCM workflows, billing operations, and VMA coordination</li><li>Identify upselling and business growth opportunities</li><li>Resolve client concerns and ensure timely execution</li><li>Track KPIs, performance reports, and client satisfaction</li><li>Coordinate with internal teams for smooth service delivery</li></ul><p><b>Requirements:</b></p><ul><li>Experience in Client Relationship Management</li><li>Knowledge of Sales and business development principles</li><li>Understanding of Revenue Cycle Management (RCM)</li><li>Excellent English communication and presentation skills</li><li>Strong problem-solving and stakeholder management abilities</li><li>Ability to multitask in a fast-paced environment</li><li>Female candidates will be preferred</li><li>Fresh candidates with excellent communication skills may also apply</li></ul><p><b>How to Apply:</b></p><p>Email your updated CV to: <b>careers@atlantis.tech</b> with a Subject Line: <b>Client Relationship Manager (CRM) or directly apply via indeed.</b></p><p>Work Location: In person</p>

Client Relationship Manager

Carolina Oncology Specialists

<div><p>Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don&rsquo;t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders.</p><p></p><p>
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.</p><p></p><p><b>
Job Description:</b></p><div><div><p><b>
 </b>Job Description: Reconciliation Specialist</p></div><div><p><b>
 </b><b>Organization:</b> Carolina Oncology Specialists<br>
<b>Location:</b> Remote-Charlotte, NC<br>
<b>Department:</b> Revenue Cycle Management<br>
<b>Reports To:</b> RCM Manager</p></div><p></p><div><p><b><br>
Position Summary</b></p></div><div><p>
The Reconciliation Specialist is responsible for ensuring the accuracy and integrity of financial transactions related to patient accounts, insurance payments, and practice revenue. This role plays a critical part in maintaining financial compliance by reconciling payments, identifying discrepancies, and supporting revenue cycle optimization efforts within Carolina Oncology Specialists.</p></div><p></p><div><p><b><br>
Key Responsibilities</b></p></div><div><ul><li><p>
Perform daily, weekly, and monthly reconciliation of payments, including insurance remittances, patient payments, and electronic funds transfers (EFTs).</p></li></ul></div><div><ul><li><p>
Compare bank deposits, clearinghouse reports, and practice management system data to ensure alignment and completeness.</p></li></ul></div><div><ul><li><p>
Investigate and resolve discrepancies, including underpayments, overpayments, and unapplied cash.</p></li></ul></div><div><ul><li><p>
Work closely with billing, coding, and collections teams to correct posting errors and ensure accurate account balances.</p></li></ul></div><div><ul><li><p>
Monitor and reconcile accounts receivable transactions to support clean financial reporting.</p></li></ul></div><div><ul><li><p>
Validate contractual adjustments and payer reimbursement accuracy.</p></li></ul></div><div><ul><li><p>
Ensure timely posting and reconciliation of all revenue streams.</p></li></ul></div><div><ul><li><p>
Maintain detailed records of reconciliation activities and audit trails.</p></li></ul></div><div><ul><li><p>
Prepare and distribute reconciliation reports to leadership, highlighting trends and issues.</p></li></ul></div><div><ul><li><p>
Support internal and external audits by providing documentation and analysis.</p></li></ul></div><div><ul><li><p>
Assist in process improvement initiatives to strengthen revenue cycle efficiency and reduce errors.</p></li></ul></div><p></p><div><p><b><br>
Required Qualifications</b></p></div></div><div><div><ul><li><p>
High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in Accounting, Finance, or related field preferred.</p></li></ul></div><div><ul><li><p>
Minimum of 2&ndash;4 years of experience in healthcare finance, medical billing, or revenue cycle reconciliation.</p></li></ul></div><div><ul><li><p>
Strong understanding of insurance remittances (EOBs/ERAs), payment posting, and healthcare reimbursement processes.</p></li></ul></div><div><ul><li><p>
Proficiency in practice management systems and Microsoft Excel (including pivot tables and reconciliation functions).</p></li></ul></div><div><ul><li><p>
High level of attention to detail and accuracy.</p></li></ul></div><div><ul><li><p>
Strong analytical and problem-solving skills.</p></li></ul></div><div><ul><li><p>
Ability to manage multiple priorities and meet deadlines.</p></li></ul></div><p></p><div><p><b><br>
Preferred Qualifications</b></p></div><div><ul><li><p>
Experience in oncology or specialty medical practice.</p></li></ul></div><div><ul><li><p>
Familiarity with payer contracts and reimbursement methodologies.</p></li></ul></div><div><ul><li><p>
Knowledge of regulatory guidelines related to healthcare billing and compliance.</p></li></ul></div><p></p><div><p><b><br>
Key Competencies</b></p></div><div><ul><li><p>
Financial Accuracy &amp; Integrity</p></li></ul></div><div><ul><li><p>
Analytical Thinking</p></li></ul></div><div><ul><li><p>
Problem Resolution</p></li></ul></div><div><ul><li><p>
Attention to Detail</p></li></ul></div><div><ul><li><p>
Collaboration &amp; Communication</p></li></ul></div><div><ul><li><p>
Time Management</p></li></ul></div></div><p></p><div><div><p><b><br>
Working Conditions</b></p></div><div><ul><li><p>
Primarily office-based role with extended periods of computer work.</p></li></ul></div><div><ul><li><p>
May require occasional extended hours during month-end close or audit periods.</p></li></ul></div></div></div>

Reconciliation Specialist

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