RCM Specialist

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!

Qualifications3+ 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