RCM Specialist

Job Description

Job Description

Revenue Cycle Management Specialist – Payments, Denials, A / R (ASC Experience Required)

Location : Flexible (Sioux Falls, SD preferred, but open to strong candidates elsewhere)

Company : Growth Orthopedics

Growth Ortho is growing, and we’re looking for talented, reliable people to join our team! If you’re passionate about healthcare and skilled in revenue cycle management for ambulatory surgery centers (ASCs), we’d love to hear from you.

Position Overview

The Revenue Cycle Specialist will play a key role in managing all aspects of the revenue cycle for our ASC operations. This includes billing, payment posting, denial resolution, A / R follow-up, and patient balance processing. While each specialist may focus on a primary area (Billing or Payments / A / R), cross-training across all functions is expected to ensure coverage and support optimal reimbursement outcomes.

Key Responsibilities

Accurately post payments and denials, reconciling against bank deposits.

Review and process patient refunds for accuracy.

Perform timely follow-up on outstanding A / R, including unpaid, underpaid, and denied claims across all payer types.

Analyze EOBs and prepare effective appeals to drive resolution.

Review and confirm accuracy of patient balances; work directly with patients to resolve inquiries and secure payments.

Answer incoming patient billing calls with professionalism and clarity.

Audit insurance payments for contract and fee schedule compliance.

Manage claims through full resolution, ensuring compliance, integrity, and optimal reimbursement at every step.

Qualifications

Required : Prior ASC (Ambulatory Surgery Center) experience in at least one core revenue cycle function.

Strong understanding of billing, collections, payment posting, and / or denial resolution workflows.

Ability to analyze payer responses and draft appeals.

Familiarity with patient communication and collections best practices.

Experience with SIS Complete or NextGen is helpful but not required.

Detail-oriented with strong problem-solving and follow-through skills.

Team player with a commitment to reliability and accuracy.

Why Join Growth Ortho?

Be part of a collaborative and growing healthcare organization.

Opportunity to expand your RCM expertise across multiple functions.

Flexible work location, with preference for candidates in the Sioux Falls area.

Supportive leadership and opportunities for long-term growth.

✨ Growth Ortho is looking for people who are both talented and dependable. If that sounds like you, we can’t wait to connect!