RCM Operations Support Specialist

Overview

RCM Operations Support Specialist supporting U.S. Revenue Cycle Management workflows by resolving operational tasks in Jira and improving processes within the RCM cycle.

What you'll do

• Resolve daily operational Jira tickets, including insurance corrections.
• Handle balance/statement inquiries and patient ledger reconciliations.
• Support AR and Appeal Jira ticket management and fulfill administrative requests (e.g., W9 inquiries).
• Re-route complex inquiries as needed.
• Participate in administrative initiatives for document management and operational workflows.
• Identify systemic trends and suggest controllable system improvements to leadership.

What you'll need

• Bachelor’s degree in any field.
• 5+ years of experience in U.S. Healthcare Revenue Cycle Management AR (RCM).
• Experience handling both Federal and Commercial insurance payers in a provider setup.
• Strong understanding of CPT, ICD-10, and HCPCS coding.
• Familiarity with billing scrubbers, clearinghouses, and payer rejections.
• Knowledge of major Accounts Receivable (AR) scenarios across multiple payers.
• Excellent analytical, multitasking, and communication skills, including detailed call notes and cross-team collaboration.

Details

• Reports to RCM Operations Manager.