RCM Specialist II

Location: Remote - Minnesota, Remote - Kansas, Remote - South Dakota, Remote - Indiana (Central), Remote - Mississippi, Remote - North Carolina, Remote - Georgia, Remote - Montana, Remote - Delaware, Remote - Massachusetts, Remote - New Jersey, Remote - Tennessee, Remote - Rhode Island, Remote - Illinois, Remote - Hawaii, Remote - Virginia, Remote - Ohio, Remote - Oregon, Remote - Indiana, Remote - Pennsylvania, Remote - Kentucky, Remote - Missouri, Remote - Iowa, Remote - Connecticut, Remote - Maine, Remote - Alabama, Remote - Wisconsin, Remote - New York, Remote - New Hampshire, Remote - Louisiana, Remote - South Carolina, Remote - Michigan, Remote - Florida, Remote - Washington, Remote - North Dakota, Remote - Maryland

Remote Type: Remote

Job Description

Ensora Health is the leading provider of software and services for mental and behavioral health therapists, trusted by over 200,000 individual providers and more than 28,000 practices. Our unmatched expertise, partnership, and breadth of products allow us to fine-tune solutions that meet the specific needs of everyone from solo practitioners to larger practices. With AI-enabled solutions that span practice management to electronic medical records and e-prescribing to billing, we help eliminate administrative complexity and create harmony between therapists, their clients, and the whole healthcare community.

Job Description

At Ensora Health, our Revenue Cycle Management team plays a vital role in helping behavioral health providers focus on what matters most: delivering quality care to their clients. As an RCM Specialist II, you will serve as a trusted partner to clinicians and practice owners by managing accounts, resolving complex billing challenges, and driving positive financial outcomes.

Were looking for someone who is detail-oriented, analytical, and forward-thinking, with a passion for problem-solving and continuous improvement. The ideal candidate embraces technology, seeks opportunities to optimize processes, and thrives in a collaborative, fast-paced environment where they can make a meaningful impact for customers.

What Youll Do

• Submit, review, correct, and process denied, rejected, and unpaid insurance and healthcare claims with a focus on accuracy and timely resolution.
• Research and resolve claim issues by identifying root causes, recommending solutions, and collaborating with internal and external stakeholders.
• Effectively prioritize and manage a high-volume workload based on claim age, complexity, customer impact, and urgency.
• Own the accounts receivable process for assigned accounts, leveraging reporting, analytics, and account reviews to monitor performance and identify opportunities for improvement.
• Partner closely with clinicians, practice owners, and customers to provide proactive account management and exceptional service.
• Build trusted relationships through regular meetings, strategic account discussions, written correspondence, and ongoing communication.
• Identify trends, denials, and reimbursement challenges while recommending process improvements that enhance operational efficiency and customer outcomes.
• Utilize technology and available tools to streamline workflows, improve productivity, and support data-driven decision making.
• Collaborate with team members, Leads, and Managers to share knowledge, solve complex issues, and contribute to a culture of continuous improvement and service excellence.
• Stay current on payer requirements, industry changes, and revenue cycle best practices to support customer success.
• Perform other duties as assigned.

What You Bring

Required Qualifications

• Associate degree or equivalent combination of education and experience.
• Minimum of 1 year of medical billing or revenue cycle management experience.
• Minimum of 1 year of customer service, account management, or client-facing experience.
• Strong understanding of insurance billing, behavioral health billing, and therapy reimbursement processes.
• Working knowledge of the healthcare revenue cycle, including claims submission, payment posting, denial management, appeals, and accounts receivable follow-up.
• Strong analytical and problem-solving skills with the ability to investigate issues and identify effective solutions.
• Excellent verbal and written communication skills with a customer-first mindset.
• Ability to manage multiple priorities while maintaining a high level of accuracy and attention to detail.
• Proficiency with billing systems, reporting tools, and Microsoft Office applications.