RCM Specialists
RCM Specialists
Job Overview
RCM Specialists support multiple stages of the healthcare revenue cycle, from patient registration and insurance verification through claims, payments, denials, and accounts receivable.
Key Responsibilities
Insurance verification
Eligibility and benefits verification
Claims processing
Payment posting
AR follow-up
Denial management
Appeals
Account reconciliation
Revenue cycle reporting
Workflow documentation
Skills & Qualifications
Previous medical billing or RCM experience
Understanding of the healthcare revenue cycle
Knowledge of U.S. insurance processes
Strong analytical and organizational skills
Excellent communication
Ability to manage multiple accounts and priorities
Strong attention to detail
Technology & Platforms
Experience with:
EHR/EMR systems
Practice Management Systems
Insurance portals
Availity
Waystar
Microsoft Excel / Google Sheets
VoIP and communication platforms
Work Equipment & System
To support reliable remote work and client requirements, applicants should have access to the following:
Laptop, desktop, or MacBook
Processor: Intel Core i5 or equivalent, minimum
Windows: Windows 11 or later
macOS: macOS Ventura or later
Memory: Minimum 8 GB RAM
Storage: Minimum 256 GB
Primary Internet: Minimum 50 Mbps
Backup Internet: Minimum 25 Mbps
Applicants should have a reliable backup internet connection that can be used if the primary connection becomes unavailable.
A reliable power backup solution is required to help maintain work continuity during power interruptions.
Examples may include:
UPS
Power station
Battery backup
Other reliable backup power solution
Depending on the position and client requirements:
Noise-canceling headset (Wired USB Preferred)
Webcam
External monitor
Surge protector
Dedicated workspace