RCM Specialist

Job Summary

Supporting the accurate management of the revenue cycle for behavioral health and outpatient practices, the fully remote RCM Specialist will handle full-cycle medical billing, including claims submission and payment posting, while ensuring compliance and maximizing reimbursements.

Key Responsibilities

• Manage full-cycle medical billing: insurance verification, charge entry, claims submission, payment posting, denial management, and patient collections
• Utilize platforms such as Simple Practice and Tebra for billing, scheduling, and reporting tasks
• Ensure timely and accurate claims submission to commercial payers, Medicaid, and Medicare, while following up on outstanding claims and resolving rejections/denials

Required Qualifications

• 3+ years of experience in healthcare claims billing for Behavioral Health, Outpatient, and/or Surgical practices
• Strong command of Simple Practice and Tebra systems
• Solid understanding of CPT/ICD-10 coding, modifiers, and billing guidelines
• Familiarity with commercial insurance, Medicaid, and Medicare billing requirements
• Proven experience in claim follow-up, denial resolution, and accounts receivable management