Revenue Cycle Management (RCM) Specialist

CAN Community Health Inc.•Tampa, FL

16h

About The Position

CAN Community Health is hiring a full-time, day-shift Revenue Cycle Management (RCM) Specialist. The role supports the organization’s financial integrity through payment reconciliation, accounts receivable follow-up, refund and credit processing, payment posting reconciliation, reporting, auditing, and billing support. The Specialist helps ensure accurate revenue cycle operations, timely resolution of issues, and effective collaboration with internal teams, vendors, patients, and external partners. The position supports CAN Community Health’s mission of serving individuals impacted by HIV, Hepatitis C, sexually transmitted infections, and other infectious diseases, and requires maintaining patient confidentiality in accordance with HIPAA and applicable professional and departmental standards.

Requirements

Bachelor’s degree in a healthcare and/or business field, or equivalent experience.
Three to five years of RCM experience.
Ability to operate a motor vehicle and a valid driver’s license and insurance.
Ability to pass Level I and Level II background checks.

Responsibilities

Promote and practice the organization’s mission and values, and follow its policies and procedures.
Maintain team confidentiality regarding patient and client information in accordance with HIPAA and professional and departmental standards.
Assist with revenue cycle management processes and process improvements.
Proactively maintain knowledge of billing systems and processes, including workflows in EMR systems and clearinghouse vendors.
Process credits and refunds accurately and efficiently according to company policies and procedures, and maintain thorough and accurate transaction records.
Participate in working and monitoring claim status volumes, assist with audits as needed, and perform related activities as directed.
Follow up on denied, unpaid, or rejected claims and resolve billing issues.
Assist with month-end reporting and reconciliation of payments and disbursements.
Communicate with patients, healthcare providers, insurance companies, and third-party administrators about billing processes, inquiries, and discrepancies.
Respond promptly to internal and external stakeholder inquiries regarding billing issues.
Coordinate and fulfill revenue cycle provision requests from R1 as needed.

Benefits

Competitive pay.
Generous paid PTO and sick time.
11 paid company holidays.
Paid training and certification support.
Health, dental, and vision coverage with a generous company contribution.
Paid life and disability plans.
Retirement plan with a match of up to 8% of the employee’s contribution and an additional 1% match.
Tuition reimbursement plan.
Other voluntary plans to support employees and their families.
Career growth opportunities in a supportive environment.