RCM Specialist CPC

Workit Health is seeking a full-time RCM Specialist to handle billing rejections and denials, with experience in telemedicine billing, especially in addiction medicine or outpatient medication-assisted treatment. The role involves communicating with insurance plans, resolving claims issues, and maintaining compliance.

Location: Remote

Salary: $24.50—$25.50 USD

Responsibilities

• Proficient in medical software, insurance websites, and EHR systems (Elation or Candid preferred)
• Verify patient eligibility and benefits including coordination of benefits
• Identify and resolve claims processing issues, including pre-submission errors, and generate appeals or reprocess claims as needed
• Communicate effectively with patients, physicians, management, staff, and third-party representatives
• Contact insurance payers for eligibility, claims resolution, and authorization requests
• Submit medical records to insurance when needed
• Review and audit patient accounts for accuracy
• Maintain compliance with professional standards, company policies, and federal, state, and HIPAA regulations
• Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards
• Respond promptly to all calls, chats, and voicemails during business hours
• Maintain positive and optimistic attitude
• Ensure timely completion of daily tasks
• All other duties as assigned

Requirements

• 1-2 years previous Medical Billing experience
• Certified Professional Coder or Biller (CPC / CPB) required
• Payment Posting is a plus but not required
• Must be able to work independently and rely on personal knowledge/experience for problem-solving
• Must have experience with MS Word and Google Sheets or MS Excel
• Must be detail-oriented and have excellent organizational and time management skills
• Candidates must excel at providing a high level of customer service and be able to work in a team environment
• Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude

Benefits

• Fully remote work
• 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
• 11 paid holidays
• Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
• 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
• 401k + 4% matching
• Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA)
• Health Savings Accounts (HSA)
• Employee assistance program, complete with financial coaching and counseling sessions
• Professional development allowance for Providers and Behavioral Health team
• Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally
• Vibrant, democratized culture with clubs and multiple ERG groups
• Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations