RCM Billing Specialist

. Leading high-level claim follow-up and appeals .

Posted 5/12/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $42,500 - $57,500 per yearWebsite

Key responsibilities & impact

Leading high-level claim follow-up and appeals
Researching and resolving nuanced billing denials
Collaborating with internal billing and RCM teams
Working within payer portals to manage denials and submit appeals
Identifying denial trends and recommending process improvements
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

What you’ll need

A college degree is preferred, but not required
2–3+ years in healthcare AR or denial management
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

Comp & perks

Medical, Dental, Vision, Life & AD&D
Short- and Long-Term Disability (coverage begins on Day 1)
Simple IRA with 3% company match (eligible after 1 year)
Paid Time Off: 14 days PTO annually
7 company holidays + 1 floating holiday
Flexible schedule, with a shared rhythm during standard business hours (Monday–Friday, 9:00 AM to 5:00 PM ET)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

billing denialsclaims follow-updenial managementCPT codingICD-10 codingUB04 formsCMS 1500 formsreimbursement patternsappeals strategyAR management

Soft Skills

communicationorganizationmultitaskingproblem-solvingindependencediscretion