What are the responsibilities and job description for the RCM Specialist (Insurance Followup) position at Excelsia AMM?
About Us
Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient’s unique needs. Our providers are leaders in personal injury and workers’ compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential.
Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes.
Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.
Job Duties
Collecting
- Commercial government payer followup (private insurance followup)
- Review AR and follow up on unpaid accounts (including utilization of Artiva and/or specialized projects)
- Review accounts in all databases (where applicable) for accuracy
- Resubmit claims if necessary.
- Forward the following adjustments /corrections to the designated employees at the BSO: write offs, payment adjustments, refunds, etc.
- Assist attorneys, adjustors, and patients with account information and billing questions. Obtain billing information if missing.
- Work A/R correspondence
- Keep AR pools in Artiva current.
- Complete daily A/R log
- Communicate with BSO staff as necessary.
- Other duties as assigned
Revenue Cycle Specialist I
- A minimum of 1 years’ experience in 3rd party billing / AR, or medical billing/coding certification
- Must have computer knowledge and accurate keyboard skills.
Revenue Cycle Specialist II
- > 2 years’ experience in 3rd party billing /AR Collections
- Knowledge of Worker’s Comp and Auto Insurance claim processing is preferred.
- Must have analytical and problem-solving skills.
Minimum Requirements
- High School diploma or GED equivalent
- Working knowledge of insurance billing and collection procedures
Physical/Mental Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.
Diversity Statement
Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.
