[Hiring] Revenue Cycle Management Billing Correspondence Specialist @GeneDx

Role Description

The RCM Correspondence Specialist manages healthcare revenue cycle communications, ensuring timely processing of insurance, patient, and internal correspondence to support billing and reimbursement while maintaining regulatory compliance. Responsibilities include:

• Review, process, and respond to correspondence from payers, patients, and internal departments regarding billing, claims, and payment issues.
• Identify and route correspondence to appropriate teams or individuals for resolution.
• Document all correspondence actions and maintain accurate records in the organization’s RCM system.
• Maintain up-to-date records of all correspondence, actions taken, and outcomes in the billing system platforms, e.g., Smartsheet, Confluence, SharePoint, etc.
• Analyze correspondence for trends or recurring issues and escalate as needed.
• Communicate effectively with insurance companies, patients, and staff to clarify billing questions and resolve discrepancies.
• Ensure all correspondence is handled in compliance with HIPAA and other relevant regulations.
• Assist with appeals and follow-ups on denied claims based on correspondence received.
• Monitor and follow up on current and outstanding unresolved correspondence within established timelines.
• Support process improvement initiatives to enhance the efficiency of the correspondence workflow.

Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree in a related field preferred.
• A minimum of 2-5 years of experience in healthcare revenue cycle management, medical billing, or insurance correspondence is required.
• Strong understanding of medical terminology, billing codes, and payer requirements.
• Excellent written and verbal communication skills.
• Proficient in Microsoft Office Suite and healthcare billing software.
• Detail-oriented with strong organizational and time management abilities.
• Ability to work independently and collaboratively in a fast-paced environment.

Requirements

• No people management responsibilities.

Benefits

• Paid Time Off (PTO)
• Health, Dental, Vision and Life insurance
• 401k Retirement Savings Plan
• Employee Discounts
• Voluntary benefits