RCM Specialist

Job Title: RCM Specialist

Job Summary:

We are seeking a highly organized and detail-oriented RCM Specialist to join our team at HEALTH PRIME INTL LLC. As an RCM Specialist, you will be responsible for accurately and timely posting of all insurance and patient payments.

Key Responsibilities:

• Interpret and evaluate research requests to determine potential payment issues.
• Post payments received in different forms into the practice management system, including lockbox remits, electronic remits, undistributed accounts, manual remit posting, zero cash posting, correspondence remit manual posting, unposted/missing payments, and EOB downloads from payer websites.
• Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials, and more to verify accuracy of patient balances.
• Review payment information to ensure there is no missing or incomplete information.
• Properly post denials in the practice management system and communicate the same with the accounts receivable team for timely follow-up.

Requirements:

• High School diploma required.
• Ability to interpret Explanation of Benefits (EOB) – preferred.
• Demonstrated ability to work with numbers quickly and accurately with an understanding of basic accounting techniques.

Working at HEALTH PRIME INTL LLC:

We are a dynamic and growing healthcare company that values our employees and provides a supportive work environment. If you are a detail-oriented and organized individual who is passionate about healthcare, we encourage you to apply for this exciting opportunity.