RCM Specialist / Medical Biller (Hybrid)

Workit Health•Charlotte, NC

1d•Hybrid

About The Position

Workit Health is seeking a full-time RCM Specialist / Medical Biller to work incoming rejections and denials and escalate trends as they are identified. The role is hybrid, based at a clinic location in Charlotte, North Carolina, or Missoula, Montana, with three days in the office and two days remote each week. The schedule is Monday through Friday, 8:00 AM to 4:30 PM local time. The ideal candidate has experience billing for addiction medicine, outpatient medication-assisted treatment, or telemedicine services; experience in both is a plus but not required. Experience calling health insurance plans is required. The position requires empathetic, patient-centered communication, prompt account handling, and openness to workflow changes in a fast-paced and fluid environment where employee input is valued.

Requirements

1–2 years of previous medical billing experience.
Experience calling health insurance plans.
Ability to work independently and rely on personal knowledge and experience for problem-solving.
Experience with MS Word and Google Sheets or MS Excel.
Detail-oriented, with excellent organizational and time-management skills.
Strong analytical skills and attention to detail.
Strong written and verbal communication skills and a professional, positive attitude.
Ability to provide a high level of customer service and work in a team environment.

Nice To Haves

Experience billing for addiction medicine and/or outpatient medication-assisted treatment.
Experience billing for telemedicine services.
CPC or CPB certification.
Payment posting experience.
Experience with Elation or Candid EHR systems.

Responsibilities

Work rejections and denials as they come in and escalate denial or rejection trends.
Use medical software, insurance websites, and EHR systems.
Verify patient eligibility and benefits, including coordination of benefits.
Identify and resolve claims processing issues, including pre-submission errors, and generate appeals or reprocess claims as needed.
Communicate effectively with patients, physicians, management, staff, and third-party representatives.
Contact insurance payers regarding eligibility, claims resolution, and authorization requests.
Submit medical records to insurance when needed.
Review and audit patient accounts for accuracy.
Maintain compliance with professional standards, company policies, and federal, state, and HIPAA regulations.
Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards.
Respond promptly to calls, chats, and voicemails during business hours.
Maintain a positive and optimistic attitude.
Complete daily tasks in a timely manner.
Perform other duties as assigned.

Benefits

Five weeks of PTO, including a birthday, two mental health days, and two floating holidays.
11 paid holidays.
Comprehensive health, dental, pharmacy, and vision insurance options.
12 weeks of paid parental leave after one year of employment, including maternity, paternity, and adoption leave.
401(k) with 4% matching.
Healthcare and dependent-care flexible spending accounts (FSA and DCFSA).
Health savings accounts (HSA).
Employee assistance program with financial coaching and counseling sessions.
Professional development allowance for Providers and the Behavioral Health team.
Opportunities for internal mobility and growth.