Specialist, RCM

Overview

The RCM Specialist, Client Access reports directly to the RCM Client Access Supervisor and is responsible for performing data entry, authorization tracking, and payer communication functions within the Revenue Cycle Management Department. This position supports authorization management processes that require precision, organization, and proactive problem‑solving to ensure services are authorized and billable.

• Obtain prior authorizations from payers and upload documentation to the appropriate document repository
• Identify authorization discrepancies and contact payer representatives to resolve issues as needed
• Utilize payer portals, Managed Care Organization (MCO) provider phone lines, and email to communicate authorization updates
• Collaborate with Operations teams to ensure caregiver schedules align with authorized units
• Monitor authorization changes, update master profiles, and make corrections as necessary
• Track all authorizations and expiration dates; proactively secure new authorizations prior to expiration
• Notify the RCM Supervisor or Manager of late, missing, or incomplete documentation required for billing
• Generate reports as requested by leadership
• Perform administrative duties including sorting, scanning, filing, and emailing records
• Complete other related duties as assigned

• Self‑motivated and reliable with strong attention to detail
• Ability to maintain confidentiality and comply with all company policies and procedures
• Excellent communication and customer service skills in a fast‑paced environment
• Strong team‑oriented mindset with a positive, solution‑focused approach
• Intermediate to advanced computer proficiency, including Microsoft Office applications
• High School Diploma or GED required
• One (1) to two (2) years of experience in revenue cycle management, billing, or healthcare administrative support

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.

Help At Home is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, or religion or other legally protected status.

The RCM Specialist, Client Access plays a critical role within the Revenue Cycle Management (RCM) Department by supporting authorization management and ensuring accurate, timely payer documentation. This role requires strong attention to detail, the ability to analyze and resolve routine authorization issues, and close collaboration with Operations and RCM leadership to support timely billing and compliance.

• Make a meaningful impact by supporting healthcare and home care services
• Collaborate with experienced leaders and cross‑functional teams
• Growth opportunities within a mission‑driven organization
• Remote work environment