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Revenue Cycle Management, RCM Specialist
CAN Community Health. Support the financial integrity of the organization through payment reconciliation, accounts receivable follow-up, refund and credit processing, payment posting reconciliation, reporting, auditing, and billing support .
About the role
Key responsibilities & impact- Support the financial integrity of the organization through payment reconciliation, accounts receivable follow-up, refund and credit processing, payment posting reconciliation, reporting, auditing, and billing support
- Ensure accurate revenue cycle operations, timely issue resolution, and effective collaboration with internal teams, vendors, patients, and external partners
- Promote and practice the organization’s mission and values and follow its policies and procedures
- Maintain confidentiality regarding patient/client information in accordance with HIPAA, professional, and departmental standards
- Assist with RCM processes and process improvements
- Proactively maintain knowledge of billing systems and processes, including EMR workflows and Clearinghouse vendors
- Process credits and refunds accurately and efficiently and maintain records of credit/refund transactions
- Participate in monitoring claim status volumes and assist with auditing activities
- Follow up on denied, unpaid, or rejected claims and resolve billing issues
- Assist with month-end reporting and reconciliation of payments and disbursements
- Communicate with patients, healthcare providers, insurance companies, and third-party administrators regarding billing processes, inquiries, and discrepancies
- Respond to internal and external stakeholder inquiries regarding billing issues
- Coordinate and fulfill revenue cycle provision requests from R1 as needed
Requirements
What you’ll need- Bachelor’s degree in healthcare and/or business arena or equivalent experience
- Three-Five years minimum of RCM experience
- Must be able to operate a motor vehicle
- Valid insurance and driver’s license required
- Must be able to pass a Level I and Level II Background check as required
- Ability to maintain confidentiality of patient/client information in accordance with HIPAA, professional, and departmental standards
- Knowledge of billing systems and processes, including workflows in EMR systems and Clearinghouse vendors
Benefits
Comp & perks- Competitive pay
- Generous paid PTO and Sick time
- 11 Paid Company Holidays
- Paid training and certification support
- Health, dental, vision, with generous company contribution
- Paid life and disability plans
- Retirement plan with generous match of up to 8% of your contribution and additional match of 1%
- Tuition Reimbursement Plan
- Other voluntary plans to support you and your family
- Career growth opportunities in a supportive environment