RCM Specialist

Job Details: Job Location: Remote Employee Location - Fife, WA, Salary Range: $3500.00 - $4000.00Salary/month, 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 TherapyNotes, 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 HQ Join 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 TherapyNotes, 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