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$52,000–$55,000/yr
US

  • Manage the full cycle of Salesforce cases, ensuring all RCM inquiries are documented and resolved within established Service Level Agreements.
  • Apply deep expertise in billing, AR follow-up, and denial management to promote one-touch resolution of escalated cases.
  • Collaborate with internal teams and care center staff to streamline workflows and resolve complex, multi-layered claim issues.

Medical Billing Revenue Cycle Management Microsoft Excel HIPAA Compliance

20 jobs similar to RCM Case Management Specialist

Jobs ranked by similarity.

US

  • Perform denial resolution and billing compliance on claims to ensure timely reimbursement based on regulations.
  • Evaluate and resolve claim rejections, escalating issues as needed, and ensuring HIPAA and billing compliance.
  • Take ownership of work quality and timeliness, achieving results with minimal oversight while focusing on first-touch resolution for customers.

University of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. It operates as a Level 1 Trauma Center with five hospitals and eleven clinics, fostering a culture of collaboration, excellence, and respect.

US

  • Responding to high volume inquiries via email/phone
  • Assist with triaging case volumes
  • Providing resolution guidance/support to care center staff on complex claims/billing inquiries; claim holds, overrides, take backs, corrected claim workflows, coding assistance

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

US

  • Handle Revenue Cycle department interactions via phone, email, voicemail, faxes, and patient portal.
  • Communicate with offices and patients to ensure current information.
  • Answer patient questions, inquiries, and concerns regarding their accounts and/or about centers.

LifeStance Health strives to help individuals, families, and communities with their mental health needs. They are the fastest growing mental health practice group in the country.

US

  • Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information.
  • Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
  • Collects, posts, and manages patient account payments.

US Anesthesia Partners provides anesthesia services. They are an equal opportunity employer and value diversity.

US

  • Answer inbound patient phone calls to handle payments, insurance questions, and account management.
  • Learn and apply knowledge of insurance billing basics, including PPOs, HMOs, Medicare, and Workers Comp.
  • Manage copay collections, create billing ledgers, post payments, and complete documentation to meet daily, weekly, and monthly goals.

Luna redefines physical therapy with an award-winning technology and clinically-proven platform that connects patients and providers. Operating in 28 states with over 25 partners, it is a mission-driven, growing startup recognized for innovation in healthcare.

$25–$34/hr
US 5w PTO

  • Submit bills compliant with all appropriate regulations and managed care contracts.
  • Collect money due by contacting third parties and providing explanations of charges.
  • Analyze accounts to determine coordination of benefits, refunds, and denials.

They are Oregon's only public academic health center, involved in patient care, research, and training healthcare professionals. As Portland's largest employer, they offer opportunities for learning and advancement in hospitals and clinics across Oregon and Southwest Washington.

US

  • Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools.
  • Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024.

US

  • Manage home infusion billing and reimbursement workflows, handling accounts receivable and payor collections.
  • Resolve complex claims and denials while ensuring compliance with HIPAA and billing regulations.
  • Work cross-functionally to improve billing accuracy and turnaround, maintaining documentation in internal systems.

Crd Careers connects growth-minded companies with high-impact professionals who drive real results. They are a precise, people-first recruitment agency built for long-term success and focused on delivering outcomes rather than buzzwords.

US 3w PTO

  • Assist Revenue Cycle Consultant and Technical Consultant teams in the implementation of Experian's Claim Source revenue cycle management system.
  • Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness.
  • Document complex solutions to internal and external clients.

Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments, with corporate headquarters in Dublin, Ireland, and a team of 23,300 people across 32 countries.

US

  • Ensure coordination of provider invoice activities to support timely reimbursement.
  • Research and resolve claim denials that fail payer edits, preparing corrections and appeals.
  • Verify patient eligibility, benefits, and health‑plan information using payer databases.

CareCentrix supports value-based care by providing care management and transition of care services. They focus on improving patient outcomes and managing healthcare costs through a range of programs and services. The company values caring, doing the right things and striving for excellence.

US

  • Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
  • Manage and hold external billing vendors accountable to defined KPIs and service expectations
  • Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk

Thirty Madison is a healthcare company that builds specialized healthcare brands that focuses on specific ongoing conditions, and thoughtfully designed to support the unique needs of its community with personalized treatments and care. They have built a number of brands and are continuing to grow rapidly.

$55,000–$65,000/yr
US

  • Work closely with the Ancillary Services team to identify opportunities to drive ordering and collection workflow improvements at care centers.
  • Collaborate with vendor partners and internal departments to optimize care center workflows and utilize performance reports to drive revenue growth.
  • Train physicians, providers, and office staff on processes and technologies while providing best-in-class customer service to ensure client satisfaction.

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient care. The company is led by top industry talent and exceptional physician leadership, utilizing scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.

US

  • Manage home infusion billing and reimbursement workflows
  • Handle accounts receivable and payor collections
  • Resolve complex claims and denials

We connect growth-minded companies with high-impact professionals who drive real results. Whether you're building a team or building a career, our approach is precise, people-first, and built for long-term success.

US

  • Prepares, reviews, and submits hospice claims accurately and timely, including Medicare, Medicaid, Managed Care, and other third-party payors.
  • Identifies, investigates, and resolves billing edits, claim rejections, denials, and payment discrepancies, including coordination of benefit (COB) scenarios.
  • Maintains strict confidentiality of all patient and financial data in accordance with HIPAA and company policies.

VitalCaring is a leading provider of home health and hospice services. Founded in 2021, they support, inspire, and uplift both their patients and their team members and has grown to over 100 locations across the country.

US

  • Process account payments and update patient insurance and demographic information accurately.
  • Research payments and rebill insurance companies when updates or corrections have been provided.
  • Work collaboratively with other departments to achieve account resolution, handling adjustments and conducting insurance follow-up.

CommonSpirit Health operates over 700 care sites across the United States, providing clinic, hospital, home-based, and virtual care services. It is a large organization accessible to nearly one in four U.S. residents, committed to building healthy communities, advocating for the vulnerable, and innovating healthcare delivery with a focus on compassion.

  • Lead and manage end-to-end revenue cycle operations.
  • Develop strategic initiatives and performance metrics.
  • Collaborate with executive leadership and cross-functional teams.

Advantia Health is dedicated to providing unparalleled healthcare to our customers by employing the most highly-qualified individuals. It is a place where good people want to work, and customers want to continue to engage.

$145,000–$150,000/yr
US

  • Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
  • Work with insurance companies and third-party administrators to address coverage issues.
  • Provide education regarding insurance benefits and financial assistance programs.

Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.

$46,750–$63,250/yr
US

  • Manage inbound and outbound calls, emails, and other communications related to post-purchase voucher inquiries.
  • Research and resolve patient billing and provider payment issues.
  • Utilize Salesforce as the primary case management tool to track cases, notes, and resolutions.

Tendo is a fast-growing, mission-driven company focused on improving the care journey for patients, clinicians, and caregivers by creating software that provides seamless, intuitive, and user-friendly experiences. Their team-driven culture and rapid growth have earned them recognition as one of Forbes’ Top Startup Employers for 2024, 2025, and 2026.

US

  • Acts as a resource for collection issues and ensures patient accounts are accurate.
  • Monitors patient A/R, sends statements, and posts payments according to standards.
  • Documents all activity on accounts and prepares data needed for court-related circumstances.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They are a team that delivers outstanding care in one of the most beautiful regions in the country.

$50,000–$62,000/yr
US 3w PTO 14w maternity 2w paternity

  • Lead daily operations of a DME revenue cycle team, ensuring accurate and efficient work within SLAs.
  • Supervise, coach, and develop team members, driving performance, productivity, and a culture of accountability.
  • Maintain compliance with healthcare regulations and advance process improvements across billing and collections workflows.

ResMed is a global leader in health technology that develops cloud-connected medical devices and software solutions for chronic respiratory diseases. It is a large, publicly traded company focused on digital health and SaaS platforms, cultivating a diverse, inclusive, and excellence-driven culture for its employees.