Transcarent
Senior Specialist, Revenue Cycle Management
Transcarent, Myrtle Point, Oregon, United States, 97458
Benefits
Salary range from $69,400 to $104,100 USD
Eligibility for corporate bonus program and stock options
Comprehensive medical, dental, and vision coverage
Competitive 401(k) Plan with generous company match
Flexible Time Off/Paid Time Off, including 12 paid holidays
Supportive mental health and wellness benefits
Job Responsibilities
Oversee RCM operations for Enterprise accounts, focusing on claim resolution and workflow optimization
Represent the RCM team in cross‑functional meetings with various departments and external partners
Address escalated claim and coding issues by collaborating with payers, vendors, and providers
Work with clinical and operations teams to enhance documentation quality and reduce denials
Lead initiatives to optimize billing processes and adapt to new care models for complex accounts
Qualifications
5+ years of experience in Revenue Cycle Management, including claim resolution and payer engagement
Proven ability to navigate Enterprise accounts and complex payer policies, particularly in telehealth or digital healthcare
Expertise in coding compliance, denial management, and provider education
Strong understanding of health plan reimbursement guidelines
Excellent communication and documentation skills
Preferred Qualifications
Certified Professional Coder (CPC) from AAPC or equivalent accredited certification
EEO Statement We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the Employer of Record (EOR) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
#J-18808-Ljbffr
Salary range from $69,400 to $104,100 USD
Eligibility for corporate bonus program and stock options
Comprehensive medical, dental, and vision coverage
Competitive 401(k) Plan with generous company match
Flexible Time Off/Paid Time Off, including 12 paid holidays
Supportive mental health and wellness benefits
Job Responsibilities
Oversee RCM operations for Enterprise accounts, focusing on claim resolution and workflow optimization
Represent the RCM team in cross‑functional meetings with various departments and external partners
Address escalated claim and coding issues by collaborating with payers, vendors, and providers
Work with clinical and operations teams to enhance documentation quality and reduce denials
Lead initiatives to optimize billing processes and adapt to new care models for complex accounts
Qualifications
5+ years of experience in Revenue Cycle Management, including claim resolution and payer engagement
Proven ability to navigate Enterprise accounts and complex payer policies, particularly in telehealth or digital healthcare
Expertise in coding compliance, denial management, and provider education
Strong understanding of health plan reimbursement guidelines
Excellent communication and documentation skills
Preferred Qualifications
Certified Professional Coder (CPC) from AAPC or equivalent accredited certification
EEO Statement We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the Employer of Record (EOR) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top‑tier employer.
#J-18808-Ljbffr