RCM Specialist, Medical Biller

• Work rejections and denials as they come in and elevate denial or rejection trends
• 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
• Respond promptly to calls, chats, and voicemails during business hours
• Ensure timely completion of daily tasks
• Perform other duties as assigned

Requirements 1-2 years previous Medical Billing experience CPC or CPB a plus but not required Payment Posting is a plus but not required Must be able to work independently and rely on personal knowledge/experience for problem-solving Must have experience with MS Word and Google Sheets or MS Excel Must be detail-oriented and have excellent organizational and time management skills Candidates must excel at providing a high level of customer service and be able to work in a team environment Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude Experience billing for addiction medicine and/or outpatient medication-assisted treatment is ideal Experience billing for telemedicine services is ideal Experience with calling health insurance plans is required Proficiency in medical software, insurance websites, and EHR systems; Elation or Candid preferred Core Competencies Demonstrates expertise in medical billing processes, including claims management, patient eligibility verification, and compliance with HIPAA regulations. Proficient in utilizing medical software and EHR systems to ensure accurate billing and high-quality customer service. Highest-signal resume keywords Medical Billing Experience Claims Processing Patient Eligibility Verification EHR Systems Proficiency Analytical Skills ATS Optimization Keywords Hard Skills Claims Management Payment Posting Medical Billing Eligibility Verification Claims Resolution Appeals Generation Attention to Detail Time Management Problem-Solving Customer Service Soft Skills Organizational Skills Communication Skills Team Collaboration Positive Attitude Detail-Oriented Certifications & Qualifications CPC CPB Industry Keywords HIPAA Compliance Addiction Medicine Billing Outpatient Medication-Assisted Treatment Billing Telemedicine Billing Insurance Payers Tools & Technologies MS Word Google Sheets MS Excel Elation Candid Medical Software Insurance Websites #J-18808-Ljbffr Jobtailor