RCM Billing Specialist

Job Description

Job Description

Description:

RCM Billing Specialist

Location: Fully Remote

Employment Type: Full-Time, W-2 Employee, Non-Exempt

Compensation: $55,000 annually + 10% bonus eligible; paid bi-weekly

Schedule/Hours: Monday-Friday (8 hours a day)

Reports To: RCM Manager

Job Summary:

RCM Billing Specialist will provide Revenue Cycle support in the day-to-day maintenance and operation for Revenue Cycle management and assist in the planning and implementation for Revenue Cycle enhancements and build outs as we continue our journey. This is a pivotal role within our healthcare organization, responsible for managing the complex landscape of medical billing and revenue cycle management. This position plays a pivotal role in ensuring the accurate and timely processing of claims, invoices, and payments, while maintaining compliance with regulatory requirements.

RCM Billing Specialist Responsibilities:

• Assist in oversight to ensure accurate insurance claims, patient invoices, and billing statements.
• Assist in ensuring 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.

Leadership, Characteristics, Skills and Abilities

• Exemplifies the mission, vision, and values of the organization. Shows up 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. Possess the maturity and political sense to be able to adopt best practices and strategies or to seek alternative ways to get things done, as necessary.
• Performance Based Culture: A work history based in creative thinking surrounding "performance-based teams" is critical. The ability to collaborate in the design for the right "go to market" approach is important; focusing on ways to minimize cost while maximizing profits is key.
• Acting with Honor and Character: Is a person of high character; is consistent and acts in line with a clear and visible set of values and beliefs; deals and talks straight; walks his/her talk; is direct and truthful but at the same time can keep confidences.

Compensation & Benefits

• Competitive Annual Rate: $55,000 annually + 10% bonus eligible; paid bi-weekly
• 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

RCM Billing Specialist Requirements:

• High school diploma or equivalent is required.
• Post-secondary education or certification in healthcare billing, medical coding, or a related field is 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, required.
• 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.
• Ability to communicate effectively in both oral and written forms; interact positively and constructively with staff, clients, community and representatives.
• Self-motivated with a positive and exceptional work ethic and attention to detail.
• Proficient with Microsoft Office Suite; 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.

This is a non-clinical position.

About ARC Health OPCO (ARC):

ARC Health OPCO (ARC) is the newest generation Management Service Organization (MSO) for mental healthcare. Headquartered in Independence, OH ARC is a fast-growing, affiliation-led platform that focuses exclusively on partnering with and operating mental health practices under the ARC business model. Practice partners that are part of ARC have the benefit of being able to focus on patient care while receiving the support of experienced professionals who are committed to the growth and success of their practices. ARC will allow practices to focus on the clinical aspects of the business by relieving the growing administrative burden facing medical practices today.

ARC is backed by The Thurston Group, a private equity firm focused on investments in healthcare services companies. They are noted for their investment approach focused on growth and quality, underscored by the philosophy of buying and building businesses the right way. The firm invests in a broad range of middle-market healthcare platforms. For more information, please visit

ARC Health OPCO (ARC) is committed to fostering a diverse, equitable, and inclusive workplace where all individuals feel valued, respected, and supported. We believe diversity of backgrounds, experiences, and perspectives strengthens our teams and enhances the care we provide to the communities we serve.

ARC Health OPCO (ARC) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law.

ARC Health OPCO (ARC) is also committed to providing reasonable accommodations to qualified individuals with disabilities throughout the recruitment process. Accommodation requests may be submitted to [email protected] .