RCM Specialist III

Salary Range: $50,000.00 To $60,000.00 Annually Are you an experienced medical billing professional who thrives on solving complex claim issues and driving revenue cycle performance? We're looking for a Billing & Collections Specialist to join our team and play a key role in ensuring timely and accurate reimbursement while supporting exceptional service for our health centers and patients. If you're detail-oriented, customer-focused, and experienced in medical billing, insurance follow-up, denial management, and account resolution, we'd love to hear from you. What You'll Do Billing & Claims Management Prepare and submit clean claims to insurance carriers electronically and via paper as needed. Review claims for accuracy and identify billing or coding issues requiring corrections, rebilling, or secondary billing. Research and resolve claim rejections, holds, denials, and payment variances. Verify patient eligibility, benefits, and insurance coverage. Follow up with insurance carriers regarding unpaid and underpaid claims to ensure timely reimbursement. Maintain compliance with payer guidelines and billing requirements. Accounts Receivable & Collections Research outstanding accounts receivable and initiate corrections related to patient demographics, insurance information, provider data, claim details, and modifiers. Assist with patient collections and deposit reconciliation activities. Accurately document all account activity, communications, and transactions within patient accounts. Monitor aging accounts and identify opportunities to improve collection performance. Customer Service & Collaboration Communicate professionally with patients, providers, insurance carriers, and internal stakeholders via phone, email, and written correspondence. Provide exceptional customer service while resolving billing and payment inquiries. Collaborate with Revenue Cycle Management team members to ensure operational efficiency. Cross-train and provide support across Revenue Cycle functions, including payment posting, reconciliation, customer service, and billing operations. Process Improvement & Operational Support Identify billing trends, recurring issues, and opportunities for process improvement. Support departmental initiatives designed to improve claim accuracy, cash collections, and reimbursement outcomes. Adapt to changing business needs and perform additional responsibilities as assigned. What You'll Bring Required Qualifications High School Diploma or GED. Minimum of 2-3 years of experience in medical billing, insurance collections, accounts receivable, or denial management. Experience working with Medicare, Medicaid, and commercial insurance payers. Knowledge of medical terminology, insurance guidelines, and billing regulations. Strong analytical, organizational, and problem-solving skills. Excellent verbal and written communication skills. Ability to manage multiple priorities and meet deadlines in a fast-paced environment. Ability to work independently while maintaining a collaborative team approach. Preferred Qualifications Experience working within an Electronic Medical Record (EMR) system. EPIC experience and/or certification. Experience with denial management, insurance follow-up, and revenue cycle operations. Why Join Us? At our organization, you'll have the opportunity to support a mission focused on improving community health while helping ensure the financial health of the health centers we serve. Your expertise will play a critical role in optimizing revenue cycle performance, improving operational efficiency, and supporting access to quality healthcare services. What We Offer 100% Remote Work – Work from anywhere within the United States. 100% Employer-Paid Medical Insurance – Comprehensive medical coverage at no cost to employees on one of our health plans. Annual $1,500 HSA Contribution – Additional support to help manage healthcare expenses. Generous Paid Time Off (PTO) – Take the time you need to rest, recharge, and maintain work-life balance. 403(b) Retirement Plan with Employer Contribution – Invest in your future with retirement savings support. Professional Development & Education Assistance – Grow your skills through ongoing learning, certifications, and educational opportunities.