RCM Billing Specialist

Job Description

REQUIREMENTS

• Education: A college degree is preferred, but not required. We’re looking for sharp, capable people who can think critically and learn quickly.
• Experience:
• • 2–3+ years in healthcare AR or denial management, with deep knowledge of CPT/ICD-10, UB04, and CMS 1500 forms
  • Direct experience with reimbursement patterns, coding nuances, or appeals strategy in physical therapy, occupational therapy, speech therapy, or ABA
  • Excellent communication, organization, and multitasking abilities
  • Strong problem-solving skills and ability to work independently
  • Tech-savvy with advanced experience in payer websites and portals
  • Ability to manage confidential information with discretion

RESPONSIBILITIES

• Manage complex aged AR and escalated denials
• Prepare and submit thorough appeals with supporting documentation
• Independently navigate payer rules across Medicare, Medicaid, and commercial plans
• Educate patients on billing issues and payment options
• Track patterns in payer denials and suggest systemic improvements
• Validate denial coding accuracy and appeal when necessary
• Escalate exhausted appeal efforts using internal escalation pathways

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

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