RCM Specialist- Pre-Service Coordination at North Country Healthcare

About North Country Healthcare (NCH): 

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a leader in a management position this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. 

POSITION SUMMARY:  

The RCM Specialist for Pre-Service Coordination is responsible for managing the workflows related to appointment scheduling, referral intake, and new patient onboarding for both primary care and specialty services. This role ensures that all demographic and insurance information is captured accurately, that referrals comply with requirements, and that scheduling processes are efficient. The specialist plays a critical role in enhancing patient experience and maintaining the integrity of the revenue cycle. 

ESSENTIAL QUALIFICATIONS 

Education: 

• High school diploma or equivalent required 

• Associate’s or Bachelor’s degree in healthcare administration, business, or related field preferred. 

Certification: 

• Certification in Healthcare Access (e.g., CHAM or CHAA) is desirable. 

​​Licensure:​ 

• Association* accredited course in Basic Life Support (BLS) (for clinical staff), or Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis, with up to a three-month grace period after the expiration date. 

Skills: 

• Strong attention to detail and the ability to manage multiple priorities effectively. 

• Excellent communication and collaboration skills for working with clinical and administrative teams. 

• Proficient in using Electronic Medical Records (EMR) systems, especially in scheduling and referral modules. 

​​Work Experience:​ 

• 3–5 years of experience in patient access, scheduling, or referrals within a healthcare setting. 

• Demonstrated knowledge of payer referral and authorization requirements. 

ESSENTIAL FUNCTIONS:  

• Oversee the accuracy of pre-registration, referral intake, and appointment scheduling processes to ensure seamless patient access. 

• Monitor and manage workflows for new patient primary care access, ensuring that all referrals are handled appropriately and efficiently. 

• Audit scheduling and referral entries to ensure compliance with payer and organizational standards. 

• Identify and resolve gaps in pre-service workflows that could impact billing or patient access, advocating for continuous improvement. 

• Provide training and constructive feedback to schedulers and referral staff to enhance their performance and understanding of best practices. 

• Collaborate with clinical and access teams to ensure patients are scheduled appropriately and in a timely manner, optimizing patient flow and resource usage. 

• Develop and maintain reporting mechanisms to monitor turnaround times, referral backlogs, and scheduling accuracy, providing insights for operational improvements. 

​​NON-ESSENTIAL FUNCTIONS 

• ​Performs additional duties as assigned. 

• ​Adheres to facility Values, Service Excellence and Standards of Excellence.​