RCM Specialist

Location: Northern

# RCM Specialist Fully Remote   
• Remote Employee Location - Fife, WA 98424## Overview Salary Range $3,500.00 - $4,000.00 Salary/month## Description
** Job Overview
** The RCM Specialist supports the accurate and efficient management of the entire revenue cycle for behavioral health, outpatient and/or Surgical practices. This role ensures timely billing, claims submission, payment posting, and follow-up through the use of platforms such as Simple Practice and Tebra. The biller plays a key role in maintaining compliance, maximizing reimbursements, and supporting the financial health of the practice by coordinating with insurance companies, clearinghouses, providers, and patients.
** Key Responsibilities
*** Manage full-cycle medical billing: insurance verification, charge entry, claims submission, payment posting, denial management, and patient collections
* Utilize platforms such as Simple Practice and Tebra for billing, scheduling, and reporting tasks
* Experience or familiarity with other major EHR/practice management systems including Therapy Notes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
* Ensure timely and accurate claims submission to commercial payers, Medicaid, and Medicare
* Follow up on outstanding claims, resolve rejections/denials, and ensure proper reimbursement
* Conduct eligibility checks and pre-authorizations when needed
* Work closely with providers and administrative staff to ensure accurate coding and billing
* Generate and analyze aging reports and accounts receivable summaries
* Maintain compliance with HIPAA, payer regulations, and internal policies
* Assist in process improvement and optimization of billing workflows
** Benefits:
*** Medical ($0 Premium!), Dental, and Vision Benefits
* Fitness Fund Reimbursement Program for gym memberships and massages
* Matching 401(K) program with 100% match
* Generous Paid Time Off program; 8 Paid Holidays
* HQ On-site amenities include Gym, Massage, Pickle Ball court, Chiropractor and Naturopath at Fife, WA HQJoin us to be part of a dynamic team that values accuracy, efficiency, and professionalism in healthcare billing!## Qualifications
** Qualifications
* ** 3+ years of experience in healthcare claims billing, specifically for Behavioral Health, Outpatient, and/or Surgical practices (required)
* Strong command of Simple Practice and Tebra systems (required)
* Experience with other platforms such as Therapy Notes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
* Solid understanding of CPT/ICD-10 coding, modifiers, and billing guidelines for behavioral health and outpatient services
* Familiarity with commercial insurance, Medicaid, and Medicare billing requirements
* Proven experience in claim follow-up, denial resolution, and AR management
* Strong analytical, organizational, and communication skills
* High level of accuracy and attention to detail
* Ability to work independently and manage multiple priorities
* Experience working in remote environments is a plus
** Preferred Qualifications
**
* Education:

College or equivalent required; an associate’s degree in healthcare administration, Certification in Coding or a related field is preferred
* Familiarity with medical billing software and U.S. payer processes is an advantage
* Attributes:
Proactive, team-oriented, and capable of handling sensitive information professionally