Specialist, Revenue Cycle Management
Quick Summary
Insurance Verification: Verify patient insurance eligibility and benefits through payer portals and eligibility tools ahead of scheduled visits; confirm active coverage,
Review rejections in Elation and in PMS. Resolve and resubmit rejected claims. Denial Management: Review and manage claim denials and rejections. Investigate the cause of denials, correct errors,
At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.
Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?
We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.
Our Culture & Core Beliefs
- Earn Trust
- Building Relationships
- Creating Joy
- Doing Right
- Improving Every Day
- Moving Forward
Responsibilities
~1 min readThe Revenue Cycle Management (RCM) Specialist is responsible for overseeing the entire billing and payment process within a healthcare organization. Their duties include verifying patient insurance, processing claims, tracking payments, handling denials, and ensuring accurate and timely reimbursement. They work closely with medical staff, insurance companies, and patients to resolve billing issues, ensure compliance with healthcare regulations, and optimize revenue. Strong analytical, communication, and problem-solving skills are essential in this role to maintain efficient financial operations. Essential responsibilities of this role include, but are not limited to:
Requirements
~1 min read- High School / GED required
- Medical Billing & Coding Certification preferred
- 3 + years of end-to-end billing experience
- Value Based care experience preferred
- Attention to detail and intermediate excel skills required
Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Location & Eligibility
About this job
- Posted
- Today
Listing Details
- First seen
- November 4, 2026
- Last seen
- November 4, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 66%
- Scored at
- November 4, 2026
Signal breakdown
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