At Kovo RCM, employees become part of a forward-thinking healthcare technology company that is transforming the way independent medical practices manage their financial success. With a strong focus on integrity, innovation, and long-term client relationships, team members have the opportunity to make a measurable impact while growing alongside experienced industry professionals.
Location: RemoteLevel: L3
Classification: Senior-Level
Compensation: $19.00 - $22.00 per hour based on experience
Job Description:
The RCM Specialist II is responsible for performing intermediate-level revenue cycle functions with greater independence. This role focuses on resolving more complex billing issues, managing claim denials, and ensuring accurate reimbursement. The RCM Specialist II collaborates across teams and contributes to process improvements while maintaining strong performance standards. This position requires strong knowledge of insurance guidelines, CPT/ICD coding basics, and payer requirements.
Key Responsibilities
Manage claim submissions, edits, and resubmissions with minimal oversight.
Investigate and resolve denied or underpaid claims.
Analyze payer responses and take appropriate corrective actions.
Perform detailed account follow-up and ensure timely resolution.
Identify trends in denials and recommend process improvements.
Communicate with payers, patients, and internal teams as needed.
Assist with training and supporting junior team members.
Maintain compliance with billing regulations and company standards.
Meet or exceed productivity, quality, and accuracy metrics.
Qualifications
High school diploma required; associate or bachelor’s degree preferred.
2–4+ years of experience in healthcare RCM or medical billing.
Strong knowledge of insurance guidelines, CPT/ICD coding basics, and payer requirements.
Experience with denial management and account resolution.
Excellent problem-solving and analytical skills.
Strong communication and organizational abilities.