RCM Payment Resolution & Correspondence Specialist

Tryon Medical Partners • Charlotte, NC

2d

About The Position

The RCM Payment Resolution & Correspondence Specialist manages the AthenaOne Unpostable and Correspondence Dashboards to research and resolve unapplied payments, payer correspondence, and documentation requests. The role supports cash flow, reduces accounts receivable, and helps ensure timely claim adjudication. As a subject matter expert in payment exception management and correspondence workflows, the specialist works with internal revenue cycle teams, practice operations, and insurance carriers to resolve discrepancies and inquiries, reduce unapplied cash and correspondence backlogs, and identify process improvements.

Requirements

• High school diploma or GED required.
• A minimum of 2–4 years of healthcare Revenue Cycle experience, emphasizing payment posting, accounts receivable, billing, denials, or cash management.
• Experience working within an electronic practice management system.
• Working knowledge of medical billing, insurance claims processing, and payment posting workflows.
• Experience researching and resolving insurance payment discrepancies.
• Strong analytical and investigative problem-solving skills.
• Excellent organizational and time management skills, including the ability to prioritize multiple work queues.
• Strong understanding of healthcare reimbursement methodologies and insurance payment processes.
• Ability to interpret Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and payer correspondence.
• Excellent written and verbal communication skills.
• High attention to detail and strong accuracy in payment application and documentation.
• Ability to collaborate effectively with Finance, Billing, Payment Posting, Denials, Patient Financial Services, Practice Operations, and external payers.
• Ability to identify workflow inefficiencies and recommend process improvements.
• Self-motivated, able to work independently, and able to meet productivity and quality expectations.

Nice To Haves

• Associate’s degree in healthcare administration, Business, Accounting, or a related field.
• AthenaOne experience.
• Experience managing AthenaOne Unpostable and/or Correspondence Dashboards.
• Knowledge of ERA/EFT processing and electronic payment reconciliation.
• Experience with commercial, Medicare, Medicaid, and managed care payer guidelines.
• Experience using payer portals and clearinghouse systems.

Responsibilities

• Manage the AthenaOne Unpostable Dashboard daily to research and resolve unapplied insurance and patient payments.
• Manage the AthenaOne Correspondence Dashboard to ensure timely processing of payer requests and claim-related correspondence.
• Research payment discrepancies using ERAs, EOBs, EFTs, clearinghouse reports, bank deposits, payer portals, and AthenaOne.
• Apply, transfer, reverse, or adjust payments as appropriate to ensure accurate account reconciliation.
• Partner with internal departments and insurance carriers to resolve payment exceptions and correspondence issues.
• Maintain accurate documentation of research and resolution activities within AthenaOne.
• Monitor work queue aging and prioritize accounts to meet organizational turnaround standards and payer filing deadlines.
• Identify recurring trends contributing to unapplied payments or correspondence delays and recommend process improvements.
• Ensure compliance with HIPAA, CMS regulations, payer requirements, and organizational policies.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED