RCM Specialist

📋 Description

• Submit initial authorization requests and track to final payor outcome.
• Manage and submit policy authorizations for coverage changes mid-treatment.
• Issue timely non-admission notices to payors to meet contractual requirements.
• Triaging daily RCM tasks to resolve bottlenecks and move claims.
• Execute ad hoc authorization and billing tasks to support revenue capture.

🎯 Requirements

• 2–3 years in healthcare admin, billing, or prior authorizations.
• Strong knowledge of prior authorization processes and payor portals.
• Proficiency with RCM billing systems and task queue triaging.
• HIPAA confidentiality compliance with patient data.
• Excellent written and verbal communication with insurers.
• Hybrid schedule in Nashville within 75 minutes' commute.

🎁 Benefits

• Comprehensive benefits for full-time employees.