RCM Billing Specialist
Fully remote, full-time W-2 (non-exempt) position reporting to the RCM Manager.
About the Role
Provide Revenue Cycle support in the day-to-day maintenance and operation for Revenue Cycle management. Assist in the planning and implementation of Revenue Cycle enhancements and build-outs. This pivotal role ensures accurate and timely processing of claims, invoices, and payments while maintaining compliance with regulatory requirements.
Responsibilities
- Assist in oversight to ensure accurate insurance claims, patient invoices, and billing statements.
- Ensure proper coding of medical procedures, diagnoses, and services in accordance with industry standards.
- Monitor the status of insurance claims, identify and resolve issues, and resubmit claims when necessary.
- Record payments, reconcile accounts, and assist with processing patient payments.
- Prepare and maintain financial reports, including accounts receivable, collections, and claims status reports.
- Maintain organized and complete billing records, authorizations, and correspondence in compliance with healthcare regulations.
- Stay up-to-date with healthcare billing regulations, coding standards, and ensure compliance with industry guidelines.
- Assist patients with billing inquiries, explain charges, and provide support with financial arrangements.
- Work closely with the Billing Manager and other staff to support the organization's financial operations.
- Other duties as assigned.
Requirements
- High school diploma or equivalent (required).
- Post-secondary education or certification in healthcare billing, medical coding, or a related field (preferred).
- In-depth knowledge of the Revenue Cycle process from pre-registration through account resolution.
- Minimum 1 year of experience in healthcare billing, medical coding, or a related field.
- Proficiency in using medical billing software and a strong understanding of billing practices and industry standards (preferred).
- Ability to work independently; excellent follow-through, multitasking, and client-facing skills.
- Strong communication skills in both oral and written forms; ability to interact positively with staff, clients, and community representatives.
- Self-motivated with a positive and exceptional work ethic and attention to detail.
- Proficient with Microsoft Office Suite; experience with similar accounting software programs (a plus).
- Excellent interpersonal, verbal, and written communication skills.
- Strong analytical and critical thinking skills.
- Excellent time management skills and ability to meet deadlines.
- Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPAA guidelines.
Skills and Characteristics
- Exemplifies the mission, vision, and values of the organization.
- Grounded in the mission of "Opening doors to exemplary mental healthcare, significantly improving the lives of patients and our team."
- Puts patients first and collaborates to improve access and create a better tomorrow.
- Cultural Awareness: Embraces differences and unique abilities in others; displays inclusive behaviors.
- Performance-Based Culture: Creative thinking surrounding "performance-based teams" and ability to collaborate in designing "go-to-market" approaches to minimize cost while maximizing profits.
- Acting with Honor and Character: High character, consistent actions aligned with values, direct and truthful communication, and ability to maintain confidentiality.
Pay
$55,000 annually + 10% bonus eligibility; paid bi-weekly.
Schedule
Monday–Friday, 8 hours per day.
Benefits
- 401(k) retirement plan with employer match up to 4%.
- Comprehensive medical, dental, and vision insurance for employees and eligible dependents.
- HSA (with employer contribution) and FSA options to help manage healthcare and dependent care expenses.
- Employer-paid life insurance and AD&D coverage.
- Employee Assistance Program (EAP) with confidential mental health and life support resources.
- Generous paid time off and additional paid holidays.
About ARC Health OPCO (ARC)
ARC Health OPCO (ARC) is a next-generation Management Service Organization (MSO) for mental healthcare, headquartered in Independence, OH. ARC is a fast-growing, affiliation-led platform focused exclusively on partnering with and operating mental health practices under its business model. Practice partners benefit from being able to focus on patient care while receiving support from experienced professionals committed to their growth and success. ARC alleviates the growing administrative burden facing medical practices today.
ARC is backed by The Thurston Group, a private equity firm specializing in healthcare services investments, known for their growth-focused and quality-driven approach.