RCM Billing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Overseeing the follow-up and appeals for high-level claims

• Investigating and addressing complex billing denials

• Partnering with internal billing and Revenue Cycle Management (RCM) teams

• Utilizing payer portals to handle denials and submit appeals

• Recognizing denial patterns and proposing process enhancements

• Managing complicated aged Accounts Receivable (AR) and escalated denials

• Preparing and submitting comprehensive appeals along with necessary documentation

• Navigating payer regulations independently across Medicare, Medicaid, and commercial plans

• Informing patients about billing concerns and available payment options

• Monitoring trends in payer denials and recommending systemic improvements

• Verifying the accuracy of denial coding and appealing when required

• Advancing exhausted appeal efforts through internal escalation procedures

⛳️ Requirements

• A college degree is preferred but not mandatory

• 2–3+ years of experience in healthcare Accounts Receivable or denial management

• Extensive knowledge of CPT/ICD-10, UB04, and CMS 1500 forms

• Direct experience with reimbursement trends, coding intricacies, or appeals strategies in physical therapy, occupational therapy, speech therapy, or ABA

• Exceptional communication, organizational, and multitasking skills

• Strong analytical abilities with a capacity to work independently

• Proficient with technology and advanced experience in payer websites and portals

• Ability to handle confidential information with tact

🏝️ Benefits

• Medical, Dental, Vision, Life & AD&D, Short- and Long-Term Disability (coverage begins on Day 1)

• Simple IRA with a 3% company match (eligibility after 1 year)

• Paid Time Off: 14 days of PTO annually

• 7 company holidays + 1 floating holiday

• Flexible schedule with a shared rhythm during standard business hours (Monday–Friday, 9:00 AM to 5:00 PM ET)