Junior Revenue Cycle Management (RCM) Specialist - REMOTE

CareTalk Health

1d•Remote

About The Position

CareTalk Health is a virtual medical practice specializing in Clinical Process Outsourcing (CPO), partnering with healthcare organizations to build and manage patient and member populations. They are seeking a Junior RCM Specialist to support the full revenue cycle, including billing, credentialing, claims processing, payment posting, and accounts receivable follow-up. This role is ideal for individuals early in their medical billing or healthcare administration careers with a strong understanding of the insurance workflow and a desire to grow in a fast-paced virtual care setting. The successful candidate will understand the insurance lifecycle, have exposure to provider credentialing, and be comfortable managing accounts receivable. Key attributes include being organized, analytical, proactive, and adept at using billing systems, payer portals, and collaborating with cross-functional teams.

Requirements

1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role
High school diploma required
Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management
Familiarity with provider credentialing and payer enrollment concepts
Understanding of accounts receivable and A/R follow-up
Strong attention to detail and organizational skills
Good written and verbal communication skills
Ability to manage multiple priorities and meet deadlines in a remote environment
Proficiency in Microsoft Excel, Google Sheets, and standard office tools
Must perform all work physically within the United States
Reliable internet connectivity and a secure, private workspace
Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones)
Must have at least Windows 10 or macOS 14 Sonoma.
Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs)
RAM: 16 GB
Wired headphones required for optimal audio quality. (NO built-in mics)
Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router.
Use Google Chrome with Amazon Workspaces (regardless of computer type).
A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam.

Nice To Haves

Associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred
Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred
Experience with EHR, PM, billing, or payer portal systems is a plus
Eagerness to learn and grow within healthcare operations
Problem-solving mindset with a willingness to investigate issues
Ability to work independently while collaborating with a remote team
Strong sense of accountability and follow-through
Comfort in a dynamic, fast-growing organization
A second monitor is highly suggested for laptop users; dual monitors for PC users.

Responsibilities

Support claim submission to ensure timely, accurate billing
Monitor claim status and follow up on unpaid or denied claims
Assist with provider credentialing and payer enrollment, keeping documentation and records current
Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances
Support denial management by identifying issues, documenting trends, and escalating complex cases
Post payments, adjustments, and remittance information accurately
Reconcile billing discrepancies and resolve account issues
Verify patient eligibility, insurance information, and benefits as part of the insurance workflow
Maintain documentation of billing activity, follow-up efforts, and account status
Communicate with payers, vendors, and internal teams on claim issues and payment delays
Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections
Support process improvement efforts to increase efficiency and reduce billing errors
Ensure all work complies with company policies and applicable healthcare regulations