RCM Specialist

Job Description

RCM Specialist - Out of Network – Detail-Oriented Professional Wanted!Are You Ready to Master the Complexities of Revenue Cycle Management?

Picture yourself in a career where your meticulous attention to detail and ability to navigate high-pressure situations directly impact the financial success of a top-tier neurosurgical practice. If you thrive on solving challenges, working with precision, and ensuring seamless revenue cycle operations, this role is designed for you! At Neurosurgeons of New Jersey, we provide the structure and support you need while empowering you with the autonomy you crave. If you are driven by accuracy, enjoy working in a dynamic medical environment, and find fulfillment in making a real impact, this is the opportunity you’ve been waiting for!A Day in the Life of an RCM Specialist

Each day presents new challenges and opportunities as you verify out-of-network benefits, obtain prior authorizations, and collaborate with patients and insurance carriers to ensure seamless billing and collections. Your ability to handle claims, resolve denials, and negotiate payments will be instrumental in maximizing revenue and maintaining compliance with regulations like the No Surprises Act. The fast-paced nature of this role requires precision, critical thinking, and a passion for problem-solving. Success in this role comes from a blend of analytical expertise, effective communication, and an unwavering commitment to accuracy and efficiency.Why Neurosurgeons of New Jersey?

Highlights: Exciting opportunity to manage out-of-network revenue cycle operations

Job Type: Full-time

Work Hours: 35 hours per week

Base Pay: $68,000 - $72,000

Benefits: Medical, dental, 401(k)

Location: Ridgewood, NJ / Remote flexibilityRequired Experience:

Minimum of 5 years of experience in healthcare revenue cycle management or medical billing

Hands-on experience with out-of-network claims, pricing networks, and claim appeals

Strong negotiation skills for out-of-network claims reimbursement

Expertise in No Surprises Act regulations and payer guidelines

Exceptional verbal and written communication skills

Ability to analyze trends, identify risks, and implement improvements

Strong organizational and problem-solving abilities

Familiarity with ICD-10 and CPT coding

Proficiency in insurance carrier claim guidelines and processes

Experience with practice management systems (preferably ECW)

Certified Professional Coder (CPC) certification preferred

Ability to work independently in a remote setting while maintaining high productivity

Strict adherence to HIPAA compliance and confidentiality standards

Full-time

Fully remote