Medical Billing Specialist (EZClaim/BestNotes, Behavioral) at RCM Staff LLC
Job details
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About this role
This is a remote position. Job Summary RCM Staff BPO is hiring a full-time Medical Billing Specialist to support a behavioral health and substance use disorder treatment program based in US. The specialist will handle the full billing cycle, from reviewing claims in the EHR through claim submission, payment posting, and A/R follow-up. This role requires end-to-end billing ownership and experience with Medicaid, such as strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans.
Key
Review and work the claims queue in the EHR and prepare clean claims for submission
Enter charges and submit claims through the billing system and clearinghouse
Monitor clearinghouse rejections and correct and resubmit claims promptly
Post insurance payments and adjustments from ERAs and EOBs
Follow up on unpaid and underpaid claims through payer portals and phone calls
Work denials, identify root causes, and submit corrections and appeals
Track Medicaid and managed care authorization and billing requirements
Support the transition of billing from a prior billing company, including reviewing open A/R
Report billing status, A/R trends, and issues to the practice
Protect patient information and follow HIPAA requirements
Qualifications
At least 2 years of experience with U.S. healthcare insurance
Hands-on experience with end-to-end medical billing, including claim submission, payment posting, A/R, and denials
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 billing for behavioral health or substance use disorder treatment programs
Experience using EZClaim, ClaimMD, or BestNotes
Familiarity with Utah Medicaid and Select Health
Experience with Medicaid managed care billing, authorizations, and level-of-care billing
Schedule
Full-time position
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