RCM Specialist / Medical Biller (Hybrid)

Workit Health•Missoula, MT

1d•Hybrid

About The Position

Workit Health is hiring a full-time RCM Specialist / Medical Biller to process rejections and denials as they arise, resolve claims issues, and escalate denial or rejection trends. The role requires experience contacting health insurance plans, strong customer service, and patient, empathetic communication with members. Experience in addiction medicine, outpatient medication-assisted treatment, or telemedicine billing is ideal; experience in both is a plus but not required. The position operates in a fast-paced environment with frequent workflow changes, where employee input is valued. 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 a.m. to 4:30 p.m. local time.

Requirements

1–2 years of previous medical billing experience.
Experience calling health insurance plans.
Proficiency with medical software, insurance websites, and EHR systems.
Experience with Microsoft Word and Google Sheets or Microsoft Excel.
Ability to work independently and use personal knowledge and experience to solve problems.
Strong customer service skills and ability to work in a team environment.
Detail orientation and strong organizational and time-management skills.
Strong analytical, written, and verbal communication skills, with a professional and positive attitude.
Ability to communicate empathetically with members and adapt to workflow changes.

Nice To Haves

Experience billing for addiction medicine, outpatient medication-assisted treatment, or telemedicine services; experience in both is a plus.
CPC or CPB certification.
Payment posting experience.
Experience with Elation or Candid EHR systems.

Responsibilities

Verify patient eligibility and benefits, including coordination of benefits.
Identify and resolve claims-processing issues, including pre-submission errors; prepare appeals or reprocess claims as needed.
Communicate effectively with patients, physicians, management, staff, and third-party representatives.
Contact insurance payers about eligibility, claims resolution, and authorization requests.
Submit medical records to insurers 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.
Complete daily tasks on time and maintain a positive, optimistic attitude.
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.
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 Account (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.