RCM Billing Specialist

RCM Billing Specialist

We are seeking an RCM Billing Specialist to support the revenue cycle by processing and following up on medical claims, managing accounts receivable, resolving insurance denials, and maintaining accurate patient accounts. This position works closely with insurance carriers, patients, and internal teams to maximize timely and accurate reimbursement.

Key Responsibilities

• Process medical claims, follow up on outstanding balances, and support collections to maximize receivables.
• Review EOBs and reconcile patient accounts to ensure accurate payments, adjustments, and balances.
• Manage outstanding A/R across commercial, government, and self-pay accounts.
• Research, appeal, and resolve insurance claims and denials.
• Verify patient insurance information, eligibility, deductibles, exclusions, and authorization requirements.
• Communicate with insurance companies, patients, families, and internal departments regarding account questions and payment issues.
• Enter patient information, charges, payments, and account updates accurately into electronic systems.
• Obtain necessary authorization numbers, codes, and payer approvals for services and procedures.
• Handle challenging situations professionally and maintain patient confidentiality.
• Assist with front-desk calls and scheduling as needed.
• Complete required training and perform other duties as assigned.

Qualifications Required

• High School Diploma or GED
• At least 1 year of office experience; healthcare experience preferred
• Strong understanding of administrative and recordkeeping processes
• Excellent verbal, written, interpersonal, and customer service skills
• Strong organization and attention to detail
• Ability to work independently in a remote environment
• Knowledge of patient confidentiality, medical terminology, and office ethics
• Proficiency with Microsoft Office or related software

Benefits

• Medical, Dental & Vision Insurance
• Accident & Life/AD&D Insurance
• Short- & Long-Term Disability
• HSA & Health Management Tools
• Paid Time Off & Company-Paid Holidays
• Parental Leave
• 401(k) Retirement Plan
• Remote Work Stipend
• Continuing Education Reimbursement
• Emergency Travel Assistance
• ID Theft Protection
• LifeMart Employee Discounts
• Bonusly Employee Recognition
• DailyPay - On-Demand Pay Access

Join Our Team If you're an RCM Billing Specialist looking to grow your healthcare revenue cycle expertise while working remotely with a forward-thinking organization, we'd love to hear from you. Apply today to join DxTx Pain & Spine!

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.