RCM Program Liaison
$65,000–$75,000 year
On-site · Raleigh, North Carolina, United States
Job Summary
RCM Program Liaison serves as primary advisor between Revenue Cycle Management and program leadership, analyzes workflows, identifies root causes of billing and eligibility issues, and recommends improvements to strengthen revenue capture and operational performance; responsibilities include revenue cycle analysis, advising on eligibility and documentation standards, cross-functional collaboration, training, and stakeholder engagement to improve denial trends, front-end processes, and overall compliance across North Carolina sites.
Required Qualifications
- Bachelor’s degree in Business, Healthcare Administration, or related field (or equivalent experience)
- Minimum of 5 years of experience in healthcare or behavioral health revenue cycle operations
- Strong understanding of North Carolina Medicaid, LME/MCO, and commercial payer requirements
- Ability to analyze data, identify trends, and translate insights into actionable recommendations
- Strong knowledge of eligibility, billing, claims management, and denial resolution
- Excellent attention to detail, organization, and ability to manage multiple priorities
- Strong communication skills with the ability to influence and advise program leadership
- Ability to work independently and use sound judgment in decision-making
- Valid North Carolina driver’s license, reliable transportation, and current insurance
- Willingness to travel across service areas
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