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 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) programwith 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

• 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 associates 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