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Rcm Associate Jobs in Florida (NOW HIRING)

Nourish

Licensing Senior Associate

Orlando, FL · On-site

... Associate will support all licensing operations at Nourish, including assisting with day-to-day ... with our RCM, Payer Ops, Clinical Ops, and Customer Experience teams. The work you do will ...

Nourish

Credentialing / Enrollment Lead

Orlando, FL · Remote

Develop and support a pod of New Bets Credentialing or Enrollments Associates or Senior Associates ... Payer Ops, Finance, RCM, Clinical Ops, and Customer Experience. * Serve as the day-to-day ...

Nourish

Licensing Lead, New Bets

Orlando, FL · Remote

Develop, and support a pod of New Bets Licensing Associates or Senior Associates, setting ... RCM, Clinical Ops, and Customer Experience. * Evaluate where work should be brought in-house or ...

EPS Corporation

TECHNICAL WRITER

Panama City Beach, FL · On-site

... Associate Degree Career Level Experienced (Non-Manager) Category Information Technology EPS ... Reliability-Centered Maintenance (RCM) NAVSEA Level II Certification and use of MIL-STD-1334 to ...

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Rcm Associate information

What is an RCM associate?

RCM Associates, or Revenue Cycle Management Associates, are professionals responsible for managing the financial processes related to healthcare services. They handle tasks such as patient billing, insurance claims, payment posting, and resolving billing discrepancies to ensure the healthcare facility receives proper reimbursement. Their work ensures the smooth flow of revenue and compliance with healthcare regulations, making them essential to the financial health of medical organizations.

What are the key skills and qualifications needed to thrive as an RCM associate?

To thrive as an RCM (Revenue Cycle Management) Associate, you need a solid understanding of medical billing, insurance claims processing, and healthcare regulations, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with billing software, electronic health records (EHR) systems, and coding standards such as ICD-10 and CPT is typically required. Strong attention to detail, analytical thinking, and effective communication help ensure accuracy and facilitate collaboration with payers and providers. These skills are crucial for minimizing claim denials, optimizing reimbursement, and maintaining smooth financial operations in healthcare organizations.

How do RCM associates typically collaborate with other departments in a healthcare organization?

RCM Associates frequently work with billing, coding, and clinical teams to ensure accurate and timely processing of patient accounts. They often coordinate with insurance verification specialists and patient services to resolve payment discrepancies and clarify documentation. Effective communication and teamwork are essential, as RCM Associates help streamline the revenue cycle by identifying bottlenecks and supporting process improvements across departments.

What is the difference between Rcm Associate vs Medical Billing Specialist?

AspectRcm AssociateMedical Billing Specialist
CredentialsRelevant certifications (e.g., CPC, CPC-H), associate degree often preferredCertification often preferred, similar educational background
Work EnvironmentHealthcare facilities, revenue cycle management companiesMedical offices, billing companies, healthcare providers
Employer & IndustryHospitals, clinics, healthcare revenue cycle firmsMedical practices, billing services, healthcare organizations
Search & Comparison IntentYesYes

The Rcm Associate and Medical Billing Specialist roles share similar credentials, work environments, and industry usage. While both handle billing and coding tasks, Rcm Associates often focus more on the entire revenue cycle process, including claims follow-up and accounts receivable management, whereas Medical Billing Specialists primarily handle claim submission and payment posting. Understanding these differences helps job seekers target the right roles in healthcare revenue management.

What are the most commonly searched types of Rcm jobs in Florida?

The most popular types of Rcm jobs in Florida are:

What job categories do people searching Rcm Associate jobs in Florida look for?

The top searched job categories for Rcm Associate jobs in Florida are:

What cities in Florida are hiring for Rcm Associate jobs?

Cities in Florida with the most Rcm Associate job openings:

Rcm Associate jobs near you
Infographic showing various Rcm Associate job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 71% Full Time, 26% Part Time, 1% Temporary, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Senior Authorization Specialist

Care Options for Kids

Delray Beach, FL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Job description

Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric therapy, nursing, and school-based services. We seamlessly integrate into children’s lives by bringing individualized care to children where they live, work, and play.
Our pediatric specialists are committed to providing high-quality pediatric services that help children and families live their best lives. We empower our community of clinicians to meet children where they are by providing the support and resources necessary to decrease administrative burdens. This focus allows our clinicians to obtain optimal work-life balance.
Senior Authorizations Specialist
Position Summary:
The Senior Associate role serves as a subject matter expert and escalation point within the revenue cycle team. This role requires advanced knowledge of revenue cycle operations, independent problem-solving, and a proactive, solution-oriented mindset. This position requires ownership of complex cases, drives resolution strategies, and delivers exceptional service to both internal and external stakeholders. This position is ideal for a seasoned professional who thrives in a fast-paced, collaborative environment and is committed to continuous improvement and operational excellence.
Key Responsibilities:
  • Obtain prior authorizations and pre-certifications for in-home nursing services for a dedicated caseload of pediatric clients.
  • Verify insurance benefits, coverage limitations, and authorization requirements for Medicaid, managed Medicaid, commercial and federal plans.
  • Submit complete and accurate authorization requests through payer portals, phone, or fax.
  • Track authorization status and follow up with payers to ensure timely approvals.
  • Request, negotiate and complete single case agreements and letter agreements.
  • Communicate authorization determinations, requirements, and delays to providers, scheduling teams, and patients.
  • Review clinical documentation to ensure it meets payer medical necessity criteria.
  • Identify and escalate authorization denials or delays for appeal or peer-to-peer review.
  • Maintain accurate records of authorization activity in company EMR systems.
  • Track authorization-related denial trends and escalate recurring payer issues.
  • Stay current on payer policies, authorization rules, state and federal regulations, and out-of-network reimbursement rules.
  • Support denial prevention initiatives and revenue cycle performance improvement efforts.
Note: All roles include administrative tasks that support core revenue cycle outcomes.
Education, Experience, and Competencies:
 

· Minimum 3 years of experience in healthcare revenue cycle management, with a focus on billing, A/R, or authorizations.

  • Experience with private duty nursing authorizations
  • Nevada and/or Florida Medicaid experience

· Demonstrated success in resolving complex RCM issues independently.

· High school diploma or GED required; associate or bachelor’s degree preferred.

· Advanced proficiency with EMR systems, payer portals, and Microsoft Office tools.

· Strong understanding of payer policies, coding, and reimbursement methodologies.

· Exceptional communication and customer service skills, with the ability to de-escalate and resolve sensitive issues.

· Proven ability to manage competing priorities and meet deadlines in a remote work environment.

 

General Duties and Responsibilities:
 

· General understanding of the departments and functions across the organization, especially those that interlock workflow with RCM) in order to assist and direct possible issues to the appropriate department or expertise when needed.

· Manage and resolve high-complexity revenue cycle issues, including escalated claims, denials, and payer disputes.

· Independently analyze and troubleshoot systemic issues impacting billing, collections, or authorizations.

· Serve as a resource and mentor to junior associates, providing guidance on best practices and complex scenarios.

· Collaborate cross-functionally with clinical, operational, and technical teams to streamline workflows and improve outcomes.

· Identify and implement process improvements that enhance efficiency, accuracy, and compliance.

· Maintain detailed documentation of actions taken and outcomes achieved in EMR and other systems.

· Represent the revenue cycle team in cross-departmental meetings and initiatives.

· Adherence to the company’s telecommuter policy.

 
Core Competencies: 
  • Autonomous Ownership: Takes full responsibility for assigned tasks and sees them through to resolution with minimal oversight.
  • Advanced Problem-Solving: Uses critical thinking and data analysis to identify root causes and implement effective solutions.
  • Escalation Expertise: Skilled in navigating payer systems and internal processes to resolve high-level issues.
  • Customer-Centric Mindset: Delivers outstanding service to patients, providers, and internal teams.
  • Process Improvement: Continuously seeks opportunities to enhance workflows and reduce inefficiencies.
  • Mentorship & Collaboration: Supports team development and fosters a culture of knowledge-sharing.

Job Title: Senior Associate, Authorization Services
Classification: Non-Exempt
Reports to: Lead, Manager or Director of Revenue Cycle
Salary Range: $45,000.00 to $55,000.00/year
Location: Hybrid/Remote
What we Offer:
  • A supportive and collaborative work environment.
  • Opportunity to Join a Rapidly Growing, Fast-Paced Organization!
  • Comprehensive benefits package, including health, dental, and vision insurance.
  • Generous Paid Time Off
  • 401K
  • A chance to make a meaningful impact in the lives of children and families.
If you are the best at what you do, and are ready to work with an innovative, positive and supportive organization, please contact us today.
 
Care Options For Kids is an equal opportunity employer. The Equal Employment Opportunity Policy of Care Options For Kids is to provide a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. Care Options For Kids hires and promotes individuals solely on the basis of their qualifications for the job to be filled. Care Options For Kids believes that associates should be provided with a working environment which enables each associate to be productive and to work to the best of his or her ability. We do not condone or tolerate an atmosphere of intimidation or harassment based on race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. We expect and require the cooperation of all associates in maintaining a discrimination and harassment-free atmosphere.