Claims Payment Resolution Specialist - MainStreet Family Urgent Care

Revenue Cycle Specialist – On-Site in Birmingham, AL
 

Are you passionate about transforming healthcare delivery and joining a team dedicated to innovation and excellence? At MainStreet Family Care, we manage an expanding network of Urgent Care clinics across Alabama, Georgia, Florida, and North Carolina, and we're looking for exceptional individuals to join us on this exciting journey.

About Us:

MainStreet is redefining healthcare by re-imagining every aspect of care delivery, including Revenue Cycle Management (RCM). Operating with an in-house team of experts including Artificial Intelligence consultants, software developers, and process enthusiasts, we're committed to excellence and efficiency in RCM.

Job Description:

As a Revenue Cycle Specialist at MainStreet, you'll play a crucial role in managing the financial health of our clinics. Reporting to the Director of Revenue Cycle Management, you'll become an integral
part of our team, ensuring smooth and efficient RCM processes from claim submission to payment completion.

Responsibilities:

- Master the MainStreet RCM process, handling a high volume of claims daily.
- Take ownership of rejected or denied claims, investigating and resolving issues with insurance companies.
- Ensure accurate and efficient data entry of payment information into our systems.
- Collaborate with a dynamic team on various projects, contributing to process improvements and automation initiatives.
- Maintain a proactive approach to identify opportunities for enhancing RCM efficiency and effectiveness.
- Demonstrate meticulous attention to detail, ensuring accuracy in all RCM activities.

Qualifications:

- Bachelor’s degree preferred.
- 1-2 years’ experience with RCM systems preferred; medical coding knowledge is advantageous.
- Strong customer service skills and a positive, optimistic attitude.
- Ability to thrive in a fast-paced environment and adapt to changing priorities.
- Commitment to continuous learning and professional development.
- Standard drug screen, driving record, and background checks will be conducted.

Work Schedule:

Monday through Friday, 8:00 AM to 5:00 PM.

Benefits: 

- Competitive salary
- 401K Retirement Plan with company matching
- Full comprehensive benefits package including health, vision, dental, life, flexible spending, short-term/long-term disability, and supplemental insurance
- Employee assistance program and employee perks network included
- Paid Time-Off

Join MainStreet and be part of a team that's reshaping healthcare delivery while offering opportunities for growth and development. We're committed to fostering an inclusive workplace and encourage individuals of all backgrounds to apply.

**MainStreet Family Care is an Equal Opportunity Employer.**