Medical Billing and A/R Follow-Up Specialist – Behavioral

🔥 13 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Verify eligibility, benefits, and coordination of benefits, and confirm authorization requirements for intensive outpatient and inpatient services • Prepare and submit professional claims, confirming the correct place of service, provider, facility, and date of service • Work clearinghouse rejections and front-end edits daily, correcting and resubmitting claims the same day where possible • Follow up on unpaid claims by payer portal and phone, prioritizing aged claims and those at risk of missing a deadline • Work on denials using remittance advice and denial codes, then correct claims and file timely appeals and reconsiderations • Track timely filing and appeal deadlines by payer so that no claim is lost to a filing limit • Post and reconcile payments from ERAs and EOBs, and flag underpayments against fee schedules for review • Report recurring denial patterns by payer, provider, and reason code to the practice’s billing leadership • Document every action clearly in the billing system • Protect patient information and follow HIPAA requirements

🎯 Requirements

• At least 2 years of experience with U.S. healthcare insurance billing and A/R follow-up • Hands-on experience with claim submission, denial management, and appeals, including reading denial and remark codes • Familiarity with commercial insurance and government health plans, including Medicare, Medicaid, managed Medicaid, and Medicare Advantage • Experience using payer portals and insurance websites • Working knowledge of electronic claims and remittance (837/835, ERA/EOB) • Basic Excel skills for tracking A/R and denials • Strong written and spoken English • Excellent attention to detail and follow-up skills • Ability to work independently and manage a large queue of claims across multiple payers • Reliable internet connection and a suitable remote workspace • Familiarity with Illinois Medicaid/Medicare and its managed care plans • Experience supporting psychiatry or behavioral health practices • Familiarity with psychiatric CPT codes, such as hospital care, nursing facility visits, psychiatric diagnostic evaluations, psychotherapy add-on codes, and outpatient E/M • Experience billing across multiple care settings, such as inpatient, skilled nursing, intensive outpatient, and outpatient

🏖️ Benefits

• Remote position • Full-time employment • Must be available during U.S. Central Time business hours

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