RCM Specialist

Workit Health•Scottsdale, AZ

5h•Hybrid

About The Position

Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment or experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans a must. Excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued.

Requirements

1-2 years previous Medical Billing experience
Must be able to work independently and rely on personal knowledge/experience for problem-solving.
Must have experience with MS Word and Google Sheets or MS Excel
Must be detail-oriented and have excellent organizational and time management skills
Candidates must excel at providing a high level of customer service and be able to work in a team environment
Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude
Experience with calling health insurance plans a must.

Nice To Haves

Experience billing for addiction medicine and/or outpatient medication-assisted treatment
Experience in billing for telemedicine services
CPC or CPB a plus but not required
Payment Posting is a plus but not required

Responsibilities

Proficient in medical software, insurance websites, and EHR systems (Elation or Candid preferred)
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 for 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 all calls, chats, and voicemails during business hours
Maintains positive and optimistic attitude
Ensure timely completion of daily tasks
All other duties as assigned

Benefits

Fully remote work
5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
11 paid holidays
Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
401k + 4% matching
Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA)
Health Savings Accounts (HSA)
Employee assistance program, complete with financial coaching and counseling sessions
Professional development allowance for Providers and Behavioral Health team
Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally
Vibrant, democratized culture with clubs and multiple ERG groups
Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations