RCM Specialist

Continuant • Fife, WA

1d • $3,500 - $4,000 • Remote

About The Position

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.

Requirements

• 3+ years of experience in healthcare claims billing, specifically for Behavioral Health, Outpatient, and/or Surgical practices (required)
• Strong command of Simple Practice and Tebra systems (required)
• Solid understanding of CPT/ICD-10 coding, modifiers, and billing guidelines for behavioral health and outpatient services
• Familiarity with commercial insurance, Medicaid, and Medicare billing requirements
• Proven experience in claim follow-up, denial resolution, and AR management
• Strong analytical, organizational, and communication skills
• High level of accuracy and attention to detail
• Ability to work independently and manage multiple priorities

Nice To Haves

• Experience or familiarity with other major EHR/practice management systems including TherapyNotes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
• Experience working in remote environments is a plus
• College or equivalent required; an associate’s degree in healthcare administration, Certification in Coding or a related field is preferred
• Familiarity with medical billing software and U.S. payer processes is an advantage
• Proactive, team-oriented, and capable of handling sensitive information professionally

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
• 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
• 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
• On-site amenities include Gym, Massage, Pickle Ball court, Chiropractor and Naturopath at Fife, WA HQ

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree