RCM Specialist I

RCM Specialist I

Department: Corporate / Administration

Type: Full Time

Location: Houston, TX

Benefits

  • Paid Time Off & Paid Company Holidays
  • Medical, Dental, Vision & Life Insurance
  • Flexible Spending Account (FSA)
  • 403(b) Retirement Plan with Company Match
  • Short-Term & Long-Term Disability
  • $0 Copay for Legacy Provider visits
  • $0 Copay for prescriptions filled at Legacy Pharmacies
  • Travel Insurance & Pet Insurance
  • Subsidized Gym Membership
  • And much more!

Apply today in less than 3 minutes using your phone, tablet, or computer!

Location: Legacy Montrose Allen Parkway - 2929 Allen Pkwy Ste 1300. Houston, TX 77019

RCM Specialist I - Job Overview

Schedule: 8AM-5PM

Join Legacy Community Health as an RCM Specialist I and be at the forefront of transforming healthcare revenue management. In this pioneering role, you will immerse yourself in a dynamic, tech-driven environment, leveraging cutting-edge tools and data analytics to optimize revenue cycles and enhance patient experiences.

  • Role highlights: Innovate revenue cycle management with state-of-the-art technology.
  • Work environment benefits: Collaborate in a forward-thinking, supportive team atmosphere.
  • Impact and growth opportunities: Contribute to groundbreaking changes in community healthcare with potential for career advancement.
  • Team collaboration: Engage with a network of skilled professionals and stakeholders to drive sustainable solutions.
  • Mission-driven: Play a critical role in digitizing healthcare operations to support patient dignity and privacy.

Key Responsibilities

  • Assess and verify the accuracy of demographic and policy information in patient accounts.
  • Digitally capture and process patients' identification and insurance documentation efficiently.
  • Respond proactively to patient account inquiries via digital platforms and phone communications.
  • Maintain comprehensive digital records of all communications and transactions within patient accounts.
  • Assist in patient collections and reconcile deposits using data-driven insights.
  • Conduct daily verifications of patient insurance eligibility and authorization requirements.
  • Determine insurance plan benefits for scheduled procedures, leveraging digital tools.
  • Obtain clinical histories digitally from referring physicians to facilitate authorization processes.
  • Adhere to digital documentation guidelines for eligibility, authorization, and benefits information.
  • Communicate non-covered benefits or exam coverage issues effectively with patients and physicians.
  • Guide Clinic Staff and Scheduling Staff on digital authorization and eligibility processes.
  • Stay informed of and communicate updates in payor authorization processes digitally.
  • Work independently and remotely while maintaining productivity and performance goals.
  • Participate in continuous education to stay ahead of industry changes and innovations.
  • Ensure patient information confidentiality in digital environments.
  • Collaborate with team leads to resolve RCM issues with an agile approach.
  • Engage in team meetings and special projects with both physical and virtual presence.
  • Perform other duties as part of an agile, responsive healthcare team.

Minimum Qualifications

  • High School diploma or equivalent; 1-2 years of experience in medical revenue cycle management.
  • For Legacy internal candidates, 3 years of patient-facing experience required.
  • Proficient in insurance verification processes, with some training in ICD10/CPT codes.
  • EPIC Certification preferred; experience with EPIC systems desirable.
  • Basic proficiency in Excel to support data analysis and digital workflows.
  • Strong ability to manage multiple deadlines and prioritize tasks in a fast-paced environment.
  • Commitment to continuous learning and adaptation in a rapidly evolving healthcare sector.
  • Reasonable accommodations made for individuals with disabilities to perform essential functions.

About Legacy Community Health

As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you.

At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department:

Approachable & Collaborative

We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility.

Driven & Committed

We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve.

Perceptive & Thoughtful Communicators

We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all.