RCM Specialist (Remote)

Learn Behavioral is a national organization made up of dedicated and caring individuals with the sole purpose of nurturing children with autism and special needs to lead resilient and fulfilling lives.  We specialize in contemporary, evidence based applied behavior analysis to deliver personalized treatment plans, backed by 20 years of clinical insights.  We are proud to be a part of each family’s journey and share in the experience of finding success for every child, and family, in our care.  If you share a similar passion for nurturing and empowering the success of others, along with the opportunity to have an impact on the lives of others, we are eager to connect with you!  

The RCM Specialist provides leadership and training within the RCM Department, under the direction of the RCM Manager. The successful candidate will have excellent attention to detail, have the highest standard of customer service, excellent written, verbal communications skills, and be proficient in revenue cycle management.

• Act as a liaison between back-office support and operations.
• Assist the RCM Department in leadership coaching, oversight, support, and training for Revenue Cycle Management team members, as needed.
• Working closely with payers and operation leads to troubleshooting and resolution of claims.
• Assist in developing training materials for RCM new hires.
• Continuously provide improvements to systems and processes along with support to team members within the RCM Department.
• Track and keep up-to-date practices with payor rules, regulations, and CMS updates.
• Effectively communicate with our payors’ partners and Operation Leads.
• Navigate claims appeals with payors.
• Review all unbilled claims and outstanding A/R.
• Prioritize meeting department deadlines.
• Process audit requests timely and accurately.
• Take the lead on monitoring assigned projects to completion.

• Bachelors’ Degree preferred
• A minimum of 3-5 years of experience in healthcare billing/accounts receivable/revenue cycle
• Proficient in Billing Software, Clearinghouse, Payor Portal and Microsoft Suites, including Excel
• Supervisory and Leadership skills
• Customer Service Skills
• Organizational skills
• Extensive knowledge of billing, collections and payment posting
• Knowledge of EDI reports

LEARN Behavioral offers competitive compensation, a comprehensive benefits plan, including 401(k), personal time off, paid holidays, and tuition reimbursement.

LEARN Behavioral is an Equal Opportunity Employer. Candidates must be presently eligible to work in the United States.