Junior Revenue Cycle Management, RCM Specialist

🔥 26 minutes ago

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CareTalk Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2021

🏥 Healthcare

🤝 B2B

Healthcare • B2B

CareTalk Health is a Clinical Process Outsourcing (CPO) company and virtual national medical practice that delivers virtual health solutions to healthcare organizations across the United States. It provides telehealth-focused clinical services and administrative processes that can be Medicare-billed when applicable, supporting Medicare and Medicaid populations. CareTalk operates as a virtual provider partner, enabling remote care delivery and revenue-cycle–eligible services for other healthcare entities.

📋 Description

• Support claim submission to ensure timely, accurate billing • Monitor claim status and follow up on unpaid or denied claims • Assist with provider credentialing and payer enrollment, keeping documentation and records current • Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances • Support denial management by identifying issues, documenting trends, and escalating complex cases • Post payments, adjustments, and remittance information accurately • Reconcile billing discrepancies and resolve account issues • Verify patient eligibility, insurance information, and benefits as part of the insurance workflow • Maintain documentation of billing activity, follow-up efforts, and account status • Communicate with payers, vendors, and internal teams on claim issues and payment delays • Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections • Support process improvement efforts to increase efficiency and reduce billing errors • Ensure all work complies with company policies and applicable healthcare regulations

🎯 Requirements

• 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred) • High school diploma required; associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred • Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management • Familiarity with provider credentialing and payer enrollment concepts • Understanding of accounts receivable and A/R follow-up • Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred • Experience with EHR, PM, billing, or payer portal systems is a plus • Strong attention to detail and organizational skills • Good written and verbal communication skills • Ability to manage multiple priorities and meet deadlines in a remote environment • Proficiency in Microsoft Excel, Google Sheets, and standard office tools

🏖️ Benefits

• Opportunity to grow with an innovative national virtual care organization • Exposure to a wide range of revenue cycle operations and healthcare workflows • Collaborative, mission-driven remote work environment • Competitive compensation and benefits package, based on experience