Medical Billing Specialist

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RCM Staff LLC

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2024

🏥 Healthcare

🎯 Recruiter

🤝 B2B

Healthcare • Recruitment • B2B

RCM Staff LLC is a staffing company that provides HIPAA-trained, healthcare-focused medical billers, certified coders, A/R follow-up specialists, and medical virtual assistants based in the Philippines who work directly inside U. S. clients’ existing EHRs, clearinghouses, and payer portals. The company handles recruiting, onboarding, training, and oversight while clients retain operational control; service tiers range from Core (staff augmentation) to Plus (account management and KPIs) and Executive (managed QA and continuity planning). RCM Staff targets medical billing companies, physician practices (solo, group, behavioral health, primary care), and RCM vendors, and emphasizes compliance (BAA available), AAPC-certified leadership, and 18+ years of U. S. revenue cycle experience.

📋 Description

• Own the day-to-day billing cycle for one provider account: scrubbing and submitting claims, posting ERA and paper EOB payments, working denials and rejections, following up on outstanding claims, and preparing weekly and monthly billing reports for the client's management team. • Scrub claims in the practice management system before submission and correct errors that would cause a rejection • Submit clean claims to the clearinghouse, then correct and resubmit any claims that are rejected • Post payments from ERAs and from scanned paper EOBs, attaching each scanned EOB to the patient ledger • Work claim denials: identify the cause, then correct and resubmit or file an appeal • For denials caused by incorrect insurance, check the Medicare website to identify the patient's Medicare Advantage plan • Follow up on outstanding claims by checking payer websites, and call the insurance company directly when status is not available online • Submit paper claims for patients with tertiary insurance • Verify patient benefits when the client's management team passes along a verification request • Contact the practice management system's support team for clearinghouse issues and payer ID lookups • Run the weekly billed charges report and send it to the client's management team for reconciliation • Compile the monthly accounts receivable (A/R) report and submit it to the client's management team before month end • Provide claim and billing status updates to the client's management team so they can respond to the practice • Protect patient information and follow HIPAA requirements

🎯 Requirements

• At least 2 years of experience in U.S. medical billing or claims processing, including claim scrubbing and clearinghouse submission • Experience posting payments from both ERAs and scanned paper EOBs • Experience working claim denials and rejections, including corrected resubmissions and appeals • Working knowledge of Medicare, Medicare Advantage, and coordination of benefits across primary, secondary, and tertiary insurance • Familiarity with commercial insurance and government health plans • Experience using payer portals and insurance websites, and comfortable calling payers by phone for claim status • Able to reconcile two charge reports and identify variances • Strong written and spoken English for internal reporting and coordination • Excellent attention to detail and follow-up skills • Ability to work independently and manage a full account with minimal supervision • Reliable internet connection and a suitable remote workspace.

🏖️ Benefits

• Remote full-time position • Suitable remote workspace • Reliable internet connection • Support for Medical Billing Specialist role