RCM QA Specialist - Adjustments / Refunds

RCM QA Specialist - Adjustments / Refunds: Responsibilities include AR follow-up and denial management, adjustments and refund processing, and maintaining accurate financial records. Qualifications require 2 years of experience in revenue cycle management, strong knowledge of US payer management, and excellent communication skills.

Requirements

• 2 years of hands-on experience in revenue cycle management within the DME/HME specialty
• Strong knowledge and experience with AR follow-up and denial management processes
• In-depth understanding of US payer management, including Medicare, Medicaid, and commercial insurance
• Excellent written and verbal communication skills, with the ability to effectively communicate with internal teams, clients, and payers
• Detail-oriented with exceptional analytical and problem-solving skills
• Previous experience as an auditor and quality control specialist is preferred, but not mandatory
• Ability to work independently and in a team-oriented environment
• Strong organizational skills with the ability to prioritize tasks and meet deadlines
• Up-to-date knowledge of coding and billing regulations, reimbursement guidelines, and industry trends