RCM Specialist / Certified Professional Coder (CPC)
About Our Client
The organization is a provider of on-demand, evidence-based telemedicine care focused on addiction treatment. It operates programs grounded in harm reduction, combining licensed clinicians, FDA-approved medications, online recovery communities, therapeutic courses, and care for co-existing conditions. Its patient-centered telemedicine model aims to improve clinical outcomes and reduce barriers to treatment, making long-term recovery accessible without disrupting daily life. The organization is expanding its reach and impact in addiction care.
About the Opportunity
The RCM Specialist / Certified Professional Coder (CPC) role focuses on managing billing processes related to addiction medicine and telemedicine services. The position is responsible for handling claim rejections and denials, identifying trends, and ensuring accurate and timely resolution. This role supports the financial health of the organization by maintaining efficient revenue cycle management and contributing to smooth patient billing experiences.
Responsibilities
- Work rejections and denials as they arise and escalate trends
- Verify patient eligibility and benefits, including coordination of benefits
- Identify and resolve claim processing issues; generate appeals or reprocess claims
- Communicate with patients, physicians, management, staff, and third-party representatives
- Contact insurance payers for eligibility, claim resolution, and authorizations
- Submit medical records to insurance as required
- Review and audit patient accounts for accuracy
- Maintain compliance with professional standards, company policies, and regulations
- Manage high volume of claims, calls, chats, and tasks while meeting productivity and quality standards
- Respond promptly to all communications during business hours
- Ensure timely completion of daily tasks
- Perform other duties as assigned
Requirements
- 1-2 years of medical billing experience
- Certified Professional Coder or Biller (CPC / CPB) required
- Experience with calling health insurance plans
- Proficiency with MS Word and Google Sheets or MS Excel
- Detail-oriented with strong organizational and time management skills
- Excellent customer service skills and ability to work in a team environment
- Strong analytical, written, and verbal communication skills
- Ability to work independently and solve problems
Pay
$24.50 to $25.50 USD per hour
Benefits & Perks
- Fully remote work
- Five weeks PTO, including birthday, mental health days, and floating holidays
- Eleven paid holidays
- Comprehensive health, dental, pharmacy, and vision insurance options
- Twelve weeks paid parental leave after one year of employment
- 401(k) plan with 4% company matching
- Healthcare and dependent care Flexible Spending Accounts
- Health Savings Accounts
- Employee assistance program including financial coaching and counseling
- Professional development allowance
- Opportunities for internal mobility and growth
- Inclusive culture with multiple employee resource groups