Kovoplus

This position is only available to applicants located in states where we currently operate; international applicants are not eligible.

Company: KovoRCM

Location: Remote

Level: L3

Classification: Senior-Level

Compensation: $19.00 - $26.00 per hour based on experience

Job Description:

The RCM Specialist II performs intermediate-level revenue cycle functions with greater independence. This role focuses on resolving more complex billing issues, managing claim denials, and ensuring accurate reimbursement. The RCM Specialist II collaborates across teams and contributes to process improvements while maintaining strong performance standards.

Key Responsibilities

• Manage claim submissions, edits, and resubmissions with minimal oversight.

• Investigate and resolve denied or underpaid claims.

• Analyze payer responses and take appropriate corrective actions.

• Perform detailed account follow-up and ensure timely resolution.

• Identify trends in denials and recommend process improvements.

• Communicate with payers, patients, and internal teams as needed.

• Assist with training and supporting junior team members.

• Maintain compliance with billing regulations and company standards.

• Meet or exceed productivity, quality, and accuracy metrics.

Required Qualifications

• Anesthesia experience

• 2–4+ years of experience in healthcare RCM or medical billing.

• Strong knowledge of insurance guidelines, CPT/ICD coding basics, and payer requirements.

• Experience with denial management and account resolution.

• Excellent problem-solving and analytical skills.

• Strong communication and organizational abilities.