Nurse liaison Jobs in Raleigh, NC

RCM Program Liaison

At Easterseals PORT Health (ESPH), our mission is rooted in empowering individuals and strengthening communities. We are seeking a strategic and analytical RCM Program Liaison to join our Revenue Cycle Management team.

This isn't just a role you will serve as a key advisor to program leadership, helping strengthen financial performance, improve compliance, and ensure sustainable revenue capture across our organization.

The RCM Program Liaison serves as the primary advisor between Revenue Cycle Management and program leadership. This role focuses on analyzing workflows, identifying root causes of billing and eligibility issues, and recommending improvements that strengthen revenue capture and operational performance.

You will use data, trends, and payer knowledge to guide programs on corrective actions, helping ensure accurate billing, timely reimbursement, and compliance with regulatory requirements.

As part of our mission, we empower our team members to grow, lead, and make meaningful impact. In this role, you will work closely with leaders across the organization to influence operational excellence and drive measurable outcomes in revenue cycle performance.

We also offer a full benefits package for benefits-eligible positions.

• Salary range: $65,000$75,000 (full-time, exempt)
• Schedule: MondayFriday, 8:00 AM 5:00 PM
• Work location: Onsite at Raleigh Headquarters (Glenwood Ave)
• Travel: Approximately 25% travel to sites across North Carolina

Benefits include:

• Generous paid time off and paid holidays
• Medical, Dental, and Vision coverage
• Company-paid Life and Disability Insurance
• 403(b) retirement plan
• Employee Assistance Program and legal services support
• Public Service Loan Forgiveness (PSLF) qualifying employer

Revenue Cycle Analysis & Advisory

• Serve as the primary RCM advisor to program leadership on eligibility, documentation, and billing practices
• Conduct root cause analysis on denials, eligibility failures, documentation gaps, and outstanding balances
• Evaluate workflows and identify systemic issues impacting claims, payment timeliness, and compliance
• Interpret payer rules and provide guidance on operational changes

Program Collaboration & Operational Improvement

• Partner with program teams to review denial trends, unbilled charges, and compliance reports
• Recommend process improvements to reduce revenue leakage and improve efficiency
• Advise leadership on front-end processes such as eligibility verification and documentation standards
• Lead cross-functional initiatives to strengthen revenue cycle performance

Training & Stakeholder Engagement

• Design and deliver training on eligibility, authorizations, and payer documentation requirements
• Communicate trends, risks, and solutions to program leadership
• Conduct site-level reviews and provide actionable recommendations
• Monitor cost center performance and distribute front-end denial reporting

What We're Looking For

Experience & Education

• 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

Skills & Expertise

• 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

Additional Requirements

• Valid North Carolina driver's license, reliable transportation, and current insurance
• Willingness to travel across service areas

Join a team where your work drives meaningful impact not just in operations, but in the lives of the individuals and communities we serve.