RCM Support Specialist
New
O
OsmindBehavioral health revenue cycle
Based in the United States. This is a US-based role, and applicants outside the US will not be consideredFull-Time
Salary$63,000 - $73,000 a year
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Job Details
- Required Skills
- Customer service
Requirements
- Be based in the United States.
- Have behavioral health revenue cycle experience or experience in a comparable specialty with substantial prior authorization and medical necessity requirements.
- Have deep full-cycle revenue cycle knowledge, including eligibility and benefits verification, prior authorization, claims, adjudication, denials and appeals, payment posting, patient responsibility, and A/R follow-up.
- Have hands-on claims experience.
- Know the U.S. healthcare landscape, including payer behavior and industry trends, and be able to explain it to people new to revenue cycle.
- Demonstrate strong customer service and clear, professional written communication, with concise and confident verbal communication.
- Have investigative and analytical skills, including report interpretation and root cause analysis of denials and payment issues.
- Be able to learn new RCM systems or healthcare service lines quickly and support others independently.
- Stay calm, constructive, and solution-oriented with frustrated stakeholders.
- Be comfortable with technology and adaptable in a fast-paced startup where processes and priorities change.
- Experience with RCM or practice management platforms such as Apero is a plus.
- Experience configuring rules engines or workflow automation in an RCM or practice management platform is a plus.
- Experience billing TMS, Spravato/esketamine, or ketamine-related services is a plus.
- Experience with customer success, support, or implementation teams, or ticketing systems such as Pylon or Zendesk, is a plus.
Responsibilities
- Own incoming revenue cycle tickets so claims specialists can focus on working accounts.
- Investigate payment, denial, and billing questions across eligibility, prior authorization, claim submission, adjudication, payment, and A/R follow-up.
- Write clear, empathetic customer responses that resolve issues or set accurate expectations.
- Advise Customer Success Managers on revenue cycle topics, processes, claims, and escalated customer situations.
- Work with claims, eligibility, and prior authorization teams to understand trends and communicate findings.
- Support software-only RCM customers with Candid setup, configuration, platform questions, and troubleshooting.
- Escalate platform bugs or configuration needs with clear context.
- Identify patterns across tickets and escalations and communicate product recommendations.
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