RCM Operations Support Specialist
Core
Resolve daily operational RCM tasks within JIRA to maintain fast turnaround times and support medical practice success.
Role type
RCM Operations Support Specialist
Builds
Operational workflows for medical practices
Domain
Healthcare Revenue Cycle Management
Deliverable
client delivery
Required skills
US Healthcare RCM AR, Federal and Commercial insurance payer handling, CPT/ICD-10/HCPCS coding, billing scrubbers, clearinghouses, payer rejections, Accounts Receivable scenarios
Preferred skills
Medicaid/Medicare AR recovery
Responsibilities
Resolve JIRA tickets for insurance corrections, balance/statement inquiries, and patient ledger reconciliations; Support AR and Appeal ticket management; Fulfill administrative requests; Identify systemic trends and suggest process improvements
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