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) 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!