RCM Specialist

U.S. ORAL SURGERY MANAGEMENT•Irving, TX

2d•$24 - $26•Onsite

About The Position

At U.S. Oral Surgery Management (USOSM), we believe in the Power to Achieve More—for our practices, our patients, and our people. We partner with leading oral surgery practices across the country, providing the expertise and support they need to thrive in areas including Operations, Human Resources, Accounting, Finance, and Revenue Cycle Management. We’re looking for an RCM Specialist – Credits to join our team and play an important role in helping our practices maintain accurate accounts, and deliver a positive financial experience for our patients and partners. If you’re detail-oriented, naturally curious, and enjoy solving problems, improving processes, and being the person others can count on, this could be a great opportunity for you. As an RCM Specialist – Credits, you’ll be responsible for researching and resolving patient and insurance credit balances across our practices. You’ll use your attention to detail and revenue cycle knowledge to audit accounts, process refunds, identify trends, and help ensure accounts are handled accurately and in accordance with company policies and applicable regulations. Beyond your day-to-day responsibilities, you’ll also serve as a resource and mentor for practices and team members, helping share knowledge and identify opportunities to improve processes.

Requirements

Detail-oriented and takes pride in getting the details right.
A problem-solver who enjoys researching issues and finding practical solutions.
Organized and adaptable, with the ability to manage multiple priorities in a fast-paced environment.
A strong communicator who can confidently work with practices, team members, and leadership.
Resourceful and self-motivated, with the ability to work independently while knowing when to ask questions.
Deadline-driven and committed to providing timely, accurate results.
Familiar with applicable collection laws, regulations, and revenue cycle practices.
High school diploma or equivalent required.
2+ years of experience in a medical or dental revenue cycle environment preferred.
Equivalent combinations of education and experience may be considered.
Experience with insurance payments, refunds, account reconciliation, or patient accounts is a plus.

Responsibilities

Review credit balances across assigned practices and identify trends or opportunities for improvement.
Research and audit patient credit accounts to ensure balances are accurate and appropriately resolved.
Process patient and insurance refunds in accordance with company policies and applicable laws and regulations.
Review insurance payments and make appropriate adjustments when needed.
Monitor and respond to the refund inbox in a timely manner.
Manage various refund activities, including check refunds, chargebacks, inbox requests, and credit account resolution.
Maintain accurate account notes, audit documentation, and Explanation of Benefits (EOB) records.
Partner with practices and internal teams to answer questions and provide guidance on credit and refund processes.
Serve as a mentor and resource for new employees and practice teams by sharing knowledge of company standards, insurance requirements, and compliance expectations.
Prioritize competing tasks and manage your workload to meet deadlines and deliver accurate results.
Recognize recurring issues and help identify solutions that improve efficiency and accuracy across our practices.
Take on additional responsibilities and projects as assigned by leadership.