Metrocare Services
At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, we have delivered a broad array of services to people with mental health challenges and developmental disabilities, including primary care, behavioral health, veteran services, pharmacy, housing, and supportive social services.
The RCM Coordinator‑Payment Application is responsible for the accurate and timely posting of all payments, adjustments, and denials to patient accounts for primary care, behavioral health, intellectual and developmental disability (IDD), early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA services. This position ensures that financial records reflect true account balances, supports accurate reporting, and plays a key role in reconciling revenue to support Metrocare’s mission of delivering high‑quality, integrated care to the community.
Responsibilities
Post all payments, adjustments, and denials from payers (Medicaid, Medicare, MCOs, commercial insurance, and self‑pay) into the billing system accurately and in a timely manner.
Reconcile daily deposits to posted payments to ensure accuracy between bank activity and accounts.
Review electronic remittance advice (ERA) and explanation of benefits (EOB) for accuracy before posting.
Identify and report payer underpayments, denials, and contractual discrepancies.
Collaborate with the claims and eligibility teams to resolve denials and payment variances.
Research unapplied cash and ensure timely resolution.
Maintain accurate records of posting activity for audit and reporting purposes.
Prepare monthly reconciliation reports for management.
Assist with training staff on payment posting processes as needed.
Perform other duties as assigned.
Competencies
Analytical skills, professional acumen, business ethics, and thorough understanding of continuous improvement processes.
Problem‑solving, respect for confidentiality, and excellent communication skills.
Knowledge of healthcare payment posting, ERA/EOB processing, and reconciliation.
Familiarity with payer‑specific rules for primary care, behavioral health, IDD, ECI, ABA therapy, and LIDDA services.
Strong attention to detail with high accuracy in data entry.
Ability to identify payment discrepancies and trends.
Ability to meet deadlines in a fast‑paced environment.
Effective communication and teamwork skills.
Professionalism and confidentiality when handling financial and patient information.
Proficiency in eligibility verification systems, clearinghouses, and payer portals.
Qualifications
High school diploma or GED and at least 5 years of experience in medical billing, claims processing, or revenue cycle management.
Associate’s degree in healthcare administration, business, or related field; experience with Medicaid/Medicare payment posting; familiarity with waiver program payments (HCBS, LIDDA, IDD services) preferred.
A bachelor's degree may be accepted in place of experience.
Work Location This role is remote, except for 6 weeks of onsite training and quarterly meetings.
Technical and Practical Requirements
Basic math skills required.
Ability to work with reports and numbers; calculate moderately complex figures and amounts accurately.
Use computer, printer, and software programs necessary to the position (Word, Excel, Outlook, PowerPoint).
Ability to utilize Internet for resources.
Driving required for occasional travel; reliable transportation and acceptable driving record necessary.
Reasonable accommodations can be made to enable individuals with disabilities to perform essential functions.
Benefits
Medical/Dental/Vision
Paid Time Off
Paid Holidays
Employee Assistance Program
Retirement Plan with employer matching
Health Savings Account with employer matching
Professional Development allowance up to $2,000 per year
Bilingual Stipend – 6% of the base salary
Many other benefits
Equal Employment Opportunity / Affluent Action Employer Metrocare is an equal opportunity employer. We welcome applicants of all backgrounds and are committed to ensuring a diverse and inclusive workplace. Please note that Metrocare facilities and grounds are tobacco‑free.
Additional Information Remote work is available for documentation and administrative tasks, with some in‑person meetings or fieldwork required. Disaster or change‑management protocols, crisis intervention training, de‑escalation techniques, and workplace safety training are provided. Employees have access to resources such as the Employee Assistance Program, Telehealth Counseling, and Supportive Management.
Disclaimer This job description is a record of major aspects of the job but is not an all‑inclusive job contract. Metrocare Services maintains its status as an “at‑will” employer, and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position’s status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center’s procedures and Federal Law.
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The RCM Coordinator‑Payment Application is responsible for the accurate and timely posting of all payments, adjustments, and denials to patient accounts for primary care, behavioral health, intellectual and developmental disability (IDD), early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA services. This position ensures that financial records reflect true account balances, supports accurate reporting, and plays a key role in reconciling revenue to support Metrocare’s mission of delivering high‑quality, integrated care to the community.
Responsibilities
Post all payments, adjustments, and denials from payers (Medicaid, Medicare, MCOs, commercial insurance, and self‑pay) into the billing system accurately and in a timely manner.
Reconcile daily deposits to posted payments to ensure accuracy between bank activity and accounts.
Review electronic remittance advice (ERA) and explanation of benefits (EOB) for accuracy before posting.
Identify and report payer underpayments, denials, and contractual discrepancies.
Collaborate with the claims and eligibility teams to resolve denials and payment variances.
Research unapplied cash and ensure timely resolution.
Maintain accurate records of posting activity for audit and reporting purposes.
Prepare monthly reconciliation reports for management.
Assist with training staff on payment posting processes as needed.
Perform other duties as assigned.
Competencies
Analytical skills, professional acumen, business ethics, and thorough understanding of continuous improvement processes.
Problem‑solving, respect for confidentiality, and excellent communication skills.
Knowledge of healthcare payment posting, ERA/EOB processing, and reconciliation.
Familiarity with payer‑specific rules for primary care, behavioral health, IDD, ECI, ABA therapy, and LIDDA services.
Strong attention to detail with high accuracy in data entry.
Ability to identify payment discrepancies and trends.
Ability to meet deadlines in a fast‑paced environment.
Effective communication and teamwork skills.
Professionalism and confidentiality when handling financial and patient information.
Proficiency in eligibility verification systems, clearinghouses, and payer portals.
Qualifications
High school diploma or GED and at least 5 years of experience in medical billing, claims processing, or revenue cycle management.
Associate’s degree in healthcare administration, business, or related field; experience with Medicaid/Medicare payment posting; familiarity with waiver program payments (HCBS, LIDDA, IDD services) preferred.
A bachelor's degree may be accepted in place of experience.
Work Location This role is remote, except for 6 weeks of onsite training and quarterly meetings.
Technical and Practical Requirements
Basic math skills required.
Ability to work with reports and numbers; calculate moderately complex figures and amounts accurately.
Use computer, printer, and software programs necessary to the position (Word, Excel, Outlook, PowerPoint).
Ability to utilize Internet for resources.
Driving required for occasional travel; reliable transportation and acceptable driving record necessary.
Reasonable accommodations can be made to enable individuals with disabilities to perform essential functions.
Benefits
Medical/Dental/Vision
Paid Time Off
Paid Holidays
Employee Assistance Program
Retirement Plan with employer matching
Health Savings Account with employer matching
Professional Development allowance up to $2,000 per year
Bilingual Stipend – 6% of the base salary
Many other benefits
Equal Employment Opportunity / Affluent Action Employer Metrocare is an equal opportunity employer. We welcome applicants of all backgrounds and are committed to ensuring a diverse and inclusive workplace. Please note that Metrocare facilities and grounds are tobacco‑free.
Additional Information Remote work is available for documentation and administrative tasks, with some in‑person meetings or fieldwork required. Disaster or change‑management protocols, crisis intervention training, de‑escalation techniques, and workplace safety training are provided. Employees have access to resources such as the Employee Assistance Program, Telehealth Counseling, and Supportive Management.
Disclaimer This job description is a record of major aspects of the job but is not an all‑inclusive job contract. Metrocare Services maintains its status as an “at‑will” employer, and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position’s status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center’s procedures and Federal Law.
#J-18808-Ljbffr