Revenue Cycle Management (RCM) Specialist

Responsibilities

• Serve as the primary internal liaison with the outsourced billing vendor to ensure timely, compliant, and accurate revenue cycle operations.
• Monitor vendor performance, identify gaps, and implement corrective actions to improve billing outcomes.
• Maintain accountability for daily revenue cycle functions including claims submission, payment posting, and denial management.
• Act as the formal point of contact between the EHR Administrator and billing-related external stakeholders.
• Cookordinate and support EHR billing workflows, ensuring process alignment and resolving issues between programmatic and fiscal operations.
• Update and maintain EHR billing data controls, ensuring data integrity and compliance.
• Identify business challenges and design billing solutions that leverage EHR system capabilities.
• Analyze financial and operational data, including denial trends, and implement sustainable solutions through quality improvement initiatives.
• Collaborate with insurance payers to resolve discrepancies, underpayments, and billing errors.
• Coordinate credentialing with new insurance companies, update existing payer contracts, support rate negotiations, and maintain payer enrollment records.
• Manage billing-related database accounts, permissions, and user access.

Qualifications

• Compensation Information
• The competitive compensation range is reflected with FCA's framework, culture, and values. Individual pay decisions will vary based on skills and experience, while still allowing for growth.
• Additional Information
• Salary: $70,000 - $80,000
• Schedule: (M-F), evening and weekend hours, as needed
• This role is full-time (35 hours/week), Exempt
• Benefits Information
• Full Health/Dental/Vision Insurance
• Generous, vacation, sick, personal, and floating holiday time
• 403(b); with generous employer contribution
• Flexible Spending Account (FSA)
• Pet Insurance
• Short Term (STD) and Long Term (LTD) Disability Insurance
• Life Insurance
• Employee Assistance Program (EAP)

Benefits

• Full Health/Dental/Vision Insurance
• Generous, vacation, sick, personal, and floating holiday time
• 403(b); with generous employer contribution
• Flexible Spending Account (FSA)
• Pet Insurance
• Short Term (STD) and Long Term (LTD) Disability Insurance
• Life Insurance
• Employee Assistance Program (EAP)