RCM Coordinator-Payment Application

Metrocare Services•Dallas, TX

22d•Remote

About The Position

The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve. The RCM Coordinator-Payment Application is responsible for the accurate and timely posting of all payments, adjustments, and denials to patient accounts for primary care, behavioral health, intellectual and developmental disability (IDD), early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA services. This position ensures that financial records reflect true account balances, supports accurate reporting, and plays a key role in the reconciliation of revenue to support Metrocare’s mission of delivering high-quality, integrated care to the community.

Requirements

High school diploma or GED
At least 5 years of experience in medical billing, claims processing, or revenue cycle management.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Knowledge of healthcare payment posting, ERA/EOB processing, and reconciliation.
Familiarity with payer-specific rules for Primary Care, Behavioral Health, IDD, ECI, ABA therapy, and LIDDA services.
Strong attention to detail with high accuracy in data entry.
Analytical skills for identifying payment discrepancies and trends.
Ability to meet deadlines in a fast-paced environment.
Effective communication and teamwork skills.
Professionalism and confidentiality when handling financial and patient information.
Proficient in eligibility verification systems, clearinghouses, and payer portals.
Basic math skills required.
Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets.
Ability to apply common sense understanding to carry out simple one or two-step instructions.
Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment.
Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint).
Ability to utilize Internet for resources.

Nice To Haves

Associate’s degree in healthcare administration, business, or related field
Experience with Medicaid/Medicare payment posting
Familiarity with waiver program payments (HCBS, LIDDA, IDD services)
A bachelor's degree may be accepted in place of experience.

Responsibilities

Post all payments, adjustments, and denials from payers (Medicaid, Medicare, MCOs, commercial insurance and self-pay) into the billing system accurately and in a timely manner.
Reconcile daily deposits to posted payments to ensure accuracy between bank activity and accounts.
Review electronic remittance advice (ERAs) and explanation of benefits (EOBs) for accuracy before posting.
Identify and report payer underpayments, denials, and contractual discrepancies.
Collaborate with the claims and eligibility teams to resolve denials and payment variances.
Research unapplied cash and ensure timely resolution.
Maintain accurate records of posting activity for audit and reporting purposes.
Prepare monthly reconciliation reports for management.
Assist with training staff on payment posting processes as needed.
Performs other duties as assigned.