RCM Specialist II

Legacy Community Health•Houston, TX

4d•Hybrid

About The Position

Are you ready to make a meaningful impact in healthcare by ensuring the financial health of our community services? As an RCM Specialist II at Legacy Community Health, you'll be at the heart of our mission to provide accessible and quality healthcare. This role is more than just a job—it's an opportunity to join a passionate team, collaborate with dedicated professionals, and grow in an environment that values work-life balance and personal development. Embrace a dynamic role that offers the flexibility to adapt to the needs of our department, providers, and patients. Be a problem solver, ensuring accuracy in our patient accounting system for seamless account resolution. Contribute to a mission-driven organization focused on community healthcare impact. Enjoy a supportive work environment that promotes collaboration and mentorship. Opportunities for growth, including potential loan repayment programs.

Requirements

High School Diploma/GED required.
Minimum of 2 years of related experience in a medical revenue cycle environment.
Previous experience in a medical office RCM setting.
Basic to Intermediate Excel proficiency.
Customer service driven.
Understanding of medical terminology and insurance laws/guidelines.
Excellent organization and time management skills along with excellent oral and written communication skills.
Must be able to identify calculation/posting errors that prevent reconciliation Ability to learn quickly, build and maintain long term relationships and work with minimal supervision Must be able to manage time to ensure daily cash posted and reconciled at end of each shift.

Nice To Haves

Training or background in Revenue Cycle Cash Posting/Refunds Processing preferred.
EPIC Certification &/or experience preferred but not required.

Responsibilities

Update and maintain patient accounts within medical software to ensure accuracy of demographic and policy information.
Scan/photocopy patients' identification, insurance cards, and correspondence as needed.
Process billing calls and correspondence from patients, staff, and third-party carriers promptly.
Communicate daily with internal and external customers via phone and written communications.
Document patient accounts accurately and completely.
Post payments, adjustments, and remittances from all payers electronically and manually.
Post zero pays, partial pays, and adjustments as indicated on payer remits.
Monitor, review, and process credits from credit balance reports.
Complete and maintain daily balance and variance reports for cash handling.
Conduct in-depth research when payments and adjustments result in a credit balance or undistributed funds.
Interpret explanation of benefits (EOB) and balance transfers to secondary insurance or patient liability.
Coordinate with the RCM team for denials, underpayments, zero pays, and unidentified payments.
Assist in reconciling deposit and patient collections.
Participate in the Performance Improvement Program and pursue ongoing education.
Work independently, maintaining productivity standards and performance goals.
Perform other duties as assigned, contributing to team efforts and special projects.