RCM Specialist

This role is responsible for driving the foundational stages of the reimbursement cycle by managing initial and mid-stay authorizations, payor notifications, and daily billing system triaging. Securing timely authorizations and maintaining precise documentation is a critical step in the financial process, directly preventing coverage gaps and administrative denials.

What You Will Do

Submitting initial authorization requests and tracking progress through final payor outcome to ensure coverage is active prior to service delivery. Managing and submitting new policy authorization requests for active clients who experience a change in coverage mid-treatment stay.

Why It Might Be a Fit

We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way.

Requirements

• 2–3 years of related work experience in healthcare administrative roles, specialized billing, prior authorizations, insurance verification, or claims management
• Strong knowledge of prior authorization processes, payor portals, and medical medical billing practices
• Proficiency with RCM billing systems and workflow triaging to effectively navigate and manage daily electronic task queues
• Knowledge of all confidentiality requirements (HIPAA) regarding patients and strict maintenance of proper confidentiality on all such information
• Excellent written and verbal communication skills for professional and persistent correspondence with insurance payors
• Strict attention to detail to ensure complex authorization timelines, dates of service, and policy numbers are accurately recorded
• Strong organizational and time-management skills to balance multiple mid-stay policy changes and time-sensitive payor notifications simultaneously

Benefits

• Comprehensive benefits to all full-time, exempt employees