RCM Specialist

Job Overview

The RCM Specialist supports the accurate and efficient management of the entire revenue cycle for behavioral health, outpatient and/or Surgical practices. This role ensures timely billing, claims submission, payment posting, and follow-up through the use of platforms such as Simple Practice and Tebra. The biller plays a key role in maintaining compliance, maximizing reimbursements, and supporting the financial health of the practice by coordinating with insurance companies, clearinghouses, providers, and patients.

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
• Experience or familiarity with other major EHR/practice management systems including TherapyNotes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
• Ensure timely and accurate claims submission to commercial payers, Medicaid, and Medicare
• Follow up on outstanding claims, resolve rejections/denials, and ensure proper reimbursement
• Conduct eligibility checks and pre-authorizations when needed
• Work closely with providers and administrative staff to ensure accurate coding and billing
• Generate and analyze aging reports and accounts receivable summaries
• Maintain compliance with HIPAA, payer regulations, and internal policies
• Assist in process improvement and optimization of billing workflows

Benefits:

• Medical ($0 Premium!), Dental, and Vision Benefits
• Fitness Fund Reimbursement Program for gym memberships and massages
• Matching 401(K) program with 100% match
• Generous Paid Time Off program; 8 Paid Holidays
• HQ On-site amenities include Gym, Massage, Pickle Ball court, Chiropractor and Naturopath at Fife, WA HQ

Join us to be part of a dynamic team that values accuracy, efficiency, and professionalism in healthcare billing!

Qualifications

• 3+ years of experience in healthcare claims billing, specifically for Behavioral Health, Outpatient, and/or Surgical practices (required)
• Strong command of Simple Practice and Tebra systems (required)
• Experience with other platforms such as TherapyNotes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
• Solid understanding of CPT/ICD-10 coding, modifiers, and billing guidelines for behavioral health and outpatient services
• Familiarity with commercial insurance, Medicaid, and Medicare billing requirements
• Proven experience in claim follow-up, denial resolution, and AR management
• Strong analytical, organizational, and communication skills
• High level of accuracy and attention to detail
• Ability to work independently and manage multiple priorities
• Experience working in remote environments is a plus

Preferred Qualifications

• Education: College or equivalent required; an associate's degree in healthcare administration, Certification in Coding or a related field is preferred
• Familiarity with medical billing software and U.S. payer processes is an advantage
• Attributes: Proactive, team-oriented, and capable of handling sensitive information professionally