RCM Specialist

Job Summary

Workit Health is seeking a full-time RCM Specialist to handle claim rejections and denials, escalating trends as necessary. Ideal candidates have experience with addiction medicine, outpatient medication-assisted treatment, or telemedicine billing.

Core 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
• Maintain a positive and optimistic attitude
• Ensure timely completion of daily tasks
• All other duties as assigned

Qualifications

• 1-2 years previous Medical Billing experience
• CPC or CPB a plus but not required
• Payment Posting is a plus but not required
• 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

Benefits & Rewards

• 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

Equal Opportunities for Everyone

As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.