RCM Coordinator (Remote)

LEARN Behavioral•Madison, WI

1d•Remote

About The Position

LEARN Behavioral is a national organization dedicated to nurturing children with autism and special needs. They specialize in evidence-based applied behavior analysis to deliver personalized treatment plans. The Revenue Cycle Management (RCM) Coordinator works under the guidance of the RCM Specialist/RCM Manager to support revenue cycle operations. The ideal candidate will demonstrate exceptional attention to detail, uphold the highest standards of customer service, possess outstanding written and verbal communication skills, and exhibit proficiency in revenue cycle management processes and practices. This is a full-time remote opportunity, open to candidates in any time zone, with pay starting at $24/hr.

Requirements

High School diploma or equivalent, college preferred
A minimum of 3-5 years of experience in healthcare billing/accounts receivable/revenue cycle
Proficient in CPT, ICD10, HCPCS coding, and Microsoft Suites (Excel, Word, and Outlook)
Communicates well via written and verbal methods
Customer/client relationship focused
General knowledge of EDI reports
Analytical with strong problem-solving abilities
Ability to multi-task and maintain thoroughness
Thrive in a fast-paced environment
Adaptable to change
Positive approach to daily routine

Nice To Haves

Experience in Forward Health in Wisconsin (i.e., Wisconsin Medicaid) a plus

Responsibilities

Manage the complete revenue cycle for assigned Wisconsin payors, including accurate claim submission, payment posting review, denial resolution, appeals, and follow-up to maximize reimbursement and reduce accounts receivable.
Investigate and resolve claim denials, rejections, and payment discrepancies by working collaboratively with internal departments and payor representatives to identify root causes and implement corrective actions.
Generate invoices for private payers, county payers, and state billing programs.
Follow up on assigned outstanding aging reports to ensure prompt remittance.
Monitor changes to Wisconsin Medicaid and commercial payor policies, fee schedules, and billing requirements, proactively communicating updates and recommending workflow improvements to maintain compliance and optimize reimbursement.
Partner with Clinical Operations, Utilization Management, Credentialing, and other cross-functional teams to resolve billing issues, improve revenue cycle performance, and support timely, accurate reimbursement for ABA services.
Support the maintenance and achievement of departmental KPIs.
Prepare weekly accounts receivable (AR) reports covering claim submission, billing, follow-up, and analysis.
Identify and communicate potential revenue risks and opportunities.
Comply with all company billing policies, procedures, and regulatory compliance standards.
Perform special projects and additional tasks as assigned.