RCM Billing Specialist

REVASCENT LLC•Meridian, ID

8d•$18 - $26•Hybrid

About The Position

The RCM Biller is responsible for preparing, reviewing, and submitting clean claims to insurance payers in accordance with payer requirements. The role ensures accuracy in coding, documentation, modifier usage, and claim edits to support timely reimbursement.

Requirements

1–3 years of medical billing experience.
Knowledge of CPT/HCPCS, ICD-10, and modifier requirements.
Experience with electronic claim submission and clearinghouse workflows.

Nice To Haves

Experience with high-volume specialty billing (retina, ophthalmology, or multi-specialty).
Familiarity with PM/EHR systems (e.g., Healthpac, NextTech, ModMed, ECW, Athena, MedInformatics, AdvancedMD).

Responsibilities

Claim Preparation & Submission Review charge accuracy, coding alignment, modifiers, NPI mapping, and documentation.
Submit electronic and paper claims according to payer guidelines and daily deadlines.
Correct claim scrubber edits and clearinghouse rejections.
Error Resolution Research payer policies to resolve billing issues.
Communicate documentation or coding discrepancies to charge entry or coding staff.
Maintain a claim submission log and track delayed or high-risk claims.
Payer Compliance Monitor payer rule updates and adjust billing workflows accordingly.
Reduce first-pass rejections by identifying and correcting recurring issues.
Cross-Functional Coordination Collaborate with authorization, charge entry, denials, and AR follow-up teams.
Provide feedback to improve upstream claim accuracy.