RCM Specialist

You know the revenue cycle and you're comfortable working in the detail.
We're looking for an RCM Specialist who can support our day-to-day revenue cycle operation across billing, AR, denials, appeals, claim follow-up and payer-related issues.
This role will work closely with our Senior RCM Lead and wider operational team to help keep claims moving, resolve issues quickly, identify recurring problems and support strong cash collection performance.
You don't need to own the entire RCM function — but you do need to take ownership of the work in front of you.
What You'll Do
Billing & claims support
Support accurate and timely claim submission
Review claim issues, rejections and billing errors
Follow up on outstanding claims and help resolve delays
Support charge capture and claim reconciliation where needed
Work with internal teams to correct documentation or billing issues
AR & collections
Work assigned AR and prioritize accounts based on aging, value and payer requirements
Follow up with payers on unpaid or underpaid claims
Identify payment delays, underpayments and recurring payer issues
Maintain clear notes and follow-through on outstanding accounts
Support collection targets and AR reduction goals
Denials & appeals
Review denied claims and determine the reason for denial
Prepare and submit appeals or corrected claims where appropriate
Track recurring denial trends and escalate patterns to the Senior RCM Lead
Help ensure corrective actions are followed through
Support timely filing and payer-specific requirements
Payer & insurance support
Work with Medicare, Medicaid and commercial payer processes
Research payer policies and claim requirements
Follow up on authorization, eligibility or coverage-related issues where required
Escalate complex payer issues appropriately
Reporting & quality
Maintain accurate worklists and reporting
Track assigned KPIs such as AR aging, denial volume, claim status and productivity
Flag risks or recurring problems rather than allowing them to repeat
Support audits, reconciliations and process improvement work
Requirements
What you'll bring
We're looking for someone with:
3+ years of US healthcare RCM or medical billing experience
Hands-on experience with AR follow-up, denials, appeals and billing
Experience working with US payers
Working knowledge of ICD-10, CPT and HCPCS
Familiarity with Medicare, Medicaid and commercial insurance
Good understanding of claim lifecycle and payer follow-up
Strong attention to detail and documentation
Confidence working independently while knowing when to escalate
Good communication and problem-solving skills
Experience working toward productivity, quality and collection KPIs
Experience with EHR, practice management or billing systems is preferred.
Certifications such as CPC, CRCR or CCS are helpful, but not required.
The person we're looking for
You're someone who likes solving problems.
When a claim is denied, you don't just move it to another queue.
You want to understand:
Why was it denied?
What needs to be corrected?
Can it be recovered?
Is this happening repeatedly?
You're comfortable working through detail, following up consistently and making sure issues don't get lost.
You also know when something is bigger than one claim and needs to be escalated.
Why this role matters
Our RCM team is growing, and this role will be an important part of supporting the Senior RCM Lead and keeping the operation running effectively.
You'll work across billing, AR, denials and payer follow-up while building deeper experience across the full revenue cycle.
If you're looking for a role where you can strengthen your RCM expertise, take real ownership of your work and grow within a developing team, we'd like to hear from you.

Work arrangement
Yes