Job Description
The Center for Oral and Maxillofacial Surgery seeks an RCM Specialist II to manage full-cycle revenue operations using Salesforce-based IT solutions. In this role, you will handle charge entry, coding review, claim submission, payment posting, and denial management while ensuring accuracy and compliance with healthcare regulations. You’ll collaborate with clinical and IT teams to optimize workflows, generate financial and operational reports, and support CRM-driven patient billing processes. Th…
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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