RCM Specialist

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Remote Employees, Decatur, IL, US

Salary Range: $18.00 To $25.00 Hourly

Job Title:Revenue Cycle Management Specialist I

Reports to:Revenue Cycle Manager

Accountable to:Senior Director of Revenue Cycle Management

Schedule:Monday–Friday, standard business hours

FLSA Status:Non-Exempt

Position Type:Part-Time

Work Setting:Remote

The Revenue Cycle Management (RCM) Specialist I performs foundational revenue cycle functions including claim follow-up, denial resolution, payment review, account research, and payer communication. This role supports timely claim resolution, accurate reimbursement, and departmental workflow needs. The Specialist I demonstrates working knowledge of revenue cycle processes while maintaining productivity, accuracy, and compliance standards.

This position collaborates with team members to support overall departmental operations and contributes to a high-performing revenue cycle team. The Specialist I builds core skills needed for advancement into more complex revenue cycle responsibilities.

• Model professionalism and accountability in all interactions
• Communicate clearly and respectfully with payers, team members, and supervisors
• Collaborate effectively to resolve account issues and support team workflows
• Uphold Heritage’s mission and values in all work performed
• Demonstrate reliability by consistently meeting productivity, quality, and attendance expectations
• Engage in learning and skill development to support growth within the department

• Review and follow up on outstanding claims to ensure timely processing and reimbursement
• Research and resolve claim issues, discrepancies, and payer requests
• Submit corrected claims, appeals, or additional documentation as required
• Communicate with payers to clarify claim issues and obtain resolution
• Monitor claim status and ensure timely follow-up until payment or final determination

• Review payments for accuracy and identify incorrect adjustments
• Conduct account research to determine next steps for unresolved claims
• Document all actions clearly and accurately in the appropriate systems

• Maintain accurate documentation for all account activity
• Ensure compliance with billing regulations, payer requirements, and internal policies
• Protect PHI and follow all HIPAA standards at all times
• Save all work files to the shared R:
  Drive in accordance with data security requirements

• Assist with workflow needs and process updates as directed
• Support team communication and coordination
• Perform other duties as assigned consistent with this role

The Revenue Cycle Management Specialist I will be successful in this role when:

• Claims are followed up on promptly and resolved efficiently
• Documentation is accurate, complete, and timely across all accounts
• Denials are reduced through effective follow-up and corrective action
• Team members view this person as reliable and communicative
• Productivity and quality standards are consistently met or exceeded
• Remote work expectations are consistently met, including responsiveness, workspace compliance, and availability

• Revenue cycle processes including claim follow-up, denial management, and payment review
• Basic payer rules, denial types, and insurance processes
• HIPAA regulations and PHI protection requirements
• Electronic health record (EHR) or billing system fundamentals

• Strong written and verbal…