Medical Billing Specialist (Chirotouch, Chiropractic) at RCM Staff LLC

About this role

This is a remote position. Job Summary RCM Staff BPO is hiring a part-time Accounts Receivable (A/R) and Denial Management Specialist to support a chiropractic practice based in Idaho. The specialist will work the practice's unpaid and denied claims: following up with payers, finding the root cause of each denial, and preparing corrected claims and appeals until they're resolved. The role requires chiropractic billing experience, strong attention to detail, consistent follow-up and experience with U.S. health insurance plans. Key
Review aging reports and follow up on any claim unpaid 30 days or more after submission
Contact payers by phone, portal and website to check claim status and get resolution
Analyze denials and remittance codes (CARC/RARC) to find the root cause
Prepare and submit corrected claims, and written appeals, with supporting documentation
Track every appeal through to a final decision, and escalate when a payer doesn't respond
Work denied exam and evaluation claims, including modifier and medical necessity issues
Note recurring denial trends and report them to the practice so the cause gets fixed at the front end
Document all follow-up activity clearly in the practice management system
Protect patient information and follow HIPAA requirements

Qualifications
At least 2 years of experience with U.S. healthcare insurance A/R follow-up and denial management
Chiropractic billing experience required
Experience writing and submitting appeals and
Familiarity with commercial insurance and government health plans
Experience using payer portals and insurance websites

•Strong written and spoken English
Excellent attention to detail and follow-up skills
Ability to work independently and manage multiple patient accounts
Reliable internet connection and a suitable remote workspace
Preferred Qualifications •Experience using ChiroTouch
Familiarity with Idaho insurance plans, such as Blue Cross of Idaho and Regence BlueShield of Idaho
Knowledge of chiropractic coding rules, such as CMT codes 98940 to 98942, modifier 25 on same-day exams, the AT modifier for Medicare, and therapy codes for ultrasound, electrical stimulation and massage
Experience working with non-covered services such as decompression and cold laser
Schedule
Part-time position (20 hours per week), with the opportunity to move to full-time based on performance and practice needs
Must be available during Mountain Time business hours
Final schedule will be determined based on practice needs

Work Arrangement •Remote •Philippines-based applicants preferred Originally posted on Himalayas