Revenue Cycle Management (RCM) Specialist

Description

The RCM Specialist is responsible for the accurate and timely posting of all payments, adjustments, and denials across medical, dental, and behavioral health services. This position plays a critical role in ensuring cash is applied correctly to patient accounts and payer ledgers, supporting the integrity of revenue cycle operations. The role also provides front-end billing support to identify and remedy initial claim errors, working collaboratively with billing, coding, and denial management teams. The RCM Specialist must be knowledgeable in Medicare, Medicaid, and commercial payer requirements across all lines of business.  

Requirements

• High school diploma or equivalent required; Associate’s degree in Business, Accounting, or Healthcare preferred.
• 2–3 years of experience in cash applications: posting, payment reconciliation, or medical billing required.
• Knowledge of Medicare, Medicaid, and commercial payer billing practices for medical, dental, and behavioral health services.
• Familiarity with electronic health record (EHR) and practice management systems.
• Strong analytical and reconciliation skills with attention to detail.
• Ability to collaborate effectively with internal revenue cycle teams and communicate with external payers.