Senior Specialist, Revenue Cycle Management

Transcarent πŸ₯πŸ’Šβš•οΈ

Remote regions

US

Salary range

$69,400–$104,100/year

Benefits

Job Description

This role will play a critical part in driving operational excellence within our revenue cycle with a particular focus on our rapidly evolving Enterprise accounts.Β The ideal candidate brings deep experience in revenue cycle operations and coding, along with strong knowledge of insurance payer systems and reimbursement processes. They are confident in leading cross-functional collaboration and can represent the RCM team with clarity and authority. You’ll help us solve complex billing issues, optimize claims performance, and protect the integrity of our operations as we scale. Take ownership of RCM operations for our Enterprise accounts, leading claim resolution and workflow optimization efforts. Serve as a key RCM point of contact in cross-functional meetings. Oversee escalated claim and coding issues, including working directly with payers, vendors, and providers to resolve denials and rejections. Collaborate with internal clinical and operations teams to improve documentation quality. Supervise and guide vendor relationships. Lead Enterprise-focused initiatives related to new care models. Stay current on payer-specific coding regulations. Provide targeted support for Enterprise workflows. Assist as needed on RCM for our direct-to-consumer telehealth business.

About Transcarent

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience.

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