[Hiring] RCM Coordinator-Payment Application @Metrocare Services

Role Description

The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, developmental disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families, and adults we serve.

The RCM Coordinator-Payment Application is responsible for the accurate and timely posting of all payments, adjustments, and denials to patient accounts for primary care, behavioral health, intellectual and developmental disability (IDD), early childhood intervention (ECI), applied behavior analysis (ABA) therapy, and LIDDA services. This position ensures that financial records reflect true account balances, supports accurate reporting, and plays a key role in the reconciliation of revenue to support Metrocare’s mission of delivering high-quality, integrated care to the community.

• Post all payments, adjustments, and denials from payers (Medicaid, Medicare, MCOs, commercial insurance, and self-pay) into the billing system accurately and in a timely manner.
• Reconcile daily deposits to posted payments to ensure accuracy between bank activity and accounts.
• Review electronic remittance advice (ERAs) and explanation of benefits (EOBs) for accuracy before posting.
• Identify and report payer underpayments, denials, and contractual discrepancies.
• Collaborate with the claims and eligibility teams to resolve denials and payment variances.
• Research unapplied cash and ensure timely resolution.
• Maintain accurate records of posting activity for audit and reporting purposes.
• Prepare monthly reconciliation reports for management.
• Assist with training staff on payment posting processes as needed.
• Perform other duties as assigned.

Qualifications

• High school diploma or GED; at least 5 years of experience in medical billing, claims processing, or revenue cycle management.
• Associate’s degree in healthcare administration, business, or related field (preferred).
• Experience with Medicaid/Medicare payment posting (preferred).
• Familiarity with waiver program payments (HCBS, LIDDA, IDD services) (preferred).
• A bachelor's degree may be accepted in place of experience (preferred).

Requirements

• Basic math skills required.
• Ability to work with reports and numbers.
• Ability to calculate moderately complex figures and amounts to accurately report activities and budgets.
• Ability to apply common sense understanding to carry out simple one or two-step instructions.
• Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment.
• Proficient in eligibility verification systems, clearinghouses, and payer portals.
• Strong attention to detail with high accuracy in data entry.
• Ability to meet deadlines in a fast-paced environment.
• Effective communication and teamwork skills.
• Professionalism and confidentiality when handling financial and patient information.

Benefits

• Medical/Dental/Vision
• Paid Time Off
• Paid Holidays
• Employee Assistance Program
• Retirement Plan, including employer matching
• Health Savings Account, including employer matching
• Professional Development allowance up to $2000 per year
• Bilingual Stipend – 6% of the base salary
• Many other benefits