RCM Specialist / Medical Biller

Core Responsibilities

• Proficient with medical software, insurance websites, and EHR systems; Elation or Candid preferred
• Verify patient eligibility and benefits, including coordination of benefits
• Identify and resolve claims processing issues, including pre-submission errors
• Generate appeals or reprocess claims as needed
• Communicate with patients, physicians, management, staff, and third-party representatives
• Contact insurance payers for eligibility, claims resolution, and authorization requests
• Submit medical records to insurance when needed
• Review and audit patient accounts for accuracy
• Maintain compliance with professional standards, company policies, and federal, state, and HIPAA regulations
• Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards

Qualifications

• 1-2 years of previous medical billing experience
• CPC or CPB preferred but not required
• Payment posting experience preferred but not required
• Experience using MS Word and Google Sheets or MS Excel
• Strong attention to detail, organization, and time management skills
• Excellent customer service, communication, and problem-solving skills
• Ability to work independently and in a team environment

• Fully remote work
• 5 weeks PTO, including birthday, 2 mental health days, and 2 floating holidays
• 11 paid holidays
• Comprehensive health, dental, pharmacy, and vision insurance
• 12 weeks paid parental leave after 1 year of employment
• 401(k) with 4% matching
• FSA, DCFSA, and HSA options
• Employee assistance program with financial coaching and counseling
• Professional development allowance
• Internal mobility and growth opportunities