RCM Specialist

RCM Specialist Albuquerque, New Mexico Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America. Hours: M-F, 8:00 AM - 4:30 PM local time Hybrid Schedule: M-W in office and Th-F remote each week Job Summary: Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment or experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans a must. Excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued. Core Responsibilities: Proficient in 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, and generate appeals or reprocess claims as needed Communicate effectively 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 all calls, chats, and voicemails during business hours Maintain a positive and optimistic attitude Ensure timely completion of daily tasks All other duties as assigned Qualifications: 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 Pay range $25 - $25 USD Benefits & Rewards: Fully remote work 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) 11 paid holidays Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) 401k + 4% matching Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) Health Savings Accounts (HSA) Employee assistance program, complete with financial coaching and counseling sessions Professional development allowance for Providers and Behavioral Health team Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally Vibrant, democratized culture with clubs and multiple ERG groups Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations Equal Opportunities for Everyone, including Folks in Recovery: As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. AI Interview Policy: At Workit Health, we value authenticity, curiosity, and personal insight during our hiring process. To ensure a fair and genuine experience for all candidates, we ask that you refrain from using AI tools or external assistance during interviews or assessments. We're most interested in your unique ideas, problem-solving approach, and communication stylequalities that help us understand how you'll contribute to our team. Demonstrating your own thinking and creativity gives both you and us the best sense of fit and potential. Privacy Policy: Applicant personal information is collected and used in accordance with Workit Health's Privacy Policy, which includes disclosures and rights under applicable U.S. privacy laws.