Junior Revenue Cycle Management (RCM) Specialist - REMOTE

caretalkhealth · United States · Bethesda, Maryland, United States

<div>Job Title: Junior Revenue Cycle Management (RCM) Specialist</div> <div>Location: Remote - United States </div> <div class="x_x_elementToProof">Employment Type: FT W2</div> <div class="x_x_elementToProof">Compensation: $35 per hour  <hr> CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations. About the Role We’re looking for a Junior RCM Specialist to support the full revenue cycle — from billing and credentialing through claims processing, payment posting, and accounts receivable follow-up. This is an ideal role for someone early in their medical billing or healthcare administration career who has a solid grasp of the insurance workflow and wants to grow in a fast-paced virtual care environment.   The ideal candidate understands how claims move through the insurance lifecycle, has exposure to provider credentialing, and is comfortable managing accounts receivable. You’re organized, analytical, proactive, and at ease working across billing systems, payer portals, and cross-functional teams. Schedule: Monday - Friday Days   <hr> What You’ll Do  • Support claim submission to ensure timely, accurate billing • Monitor claim status and follow up on unpaid or denied claims • Assist with provider credentialing and payer enrollment, keeping documentation and records current • Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances • Support denial management by identifying issues, documenting trends, and escalating complex cases • Post payments, adjustments, and remittance information accurately • Reconcile billing discrepancies and resolve account issues • Verify patient eligibility, insurance information, and benefits as part of the insurance workflow • Maintain documentation of billing activity, follow-up efforts, and account status • Communicate with payers, vendors, and internal teams on claim issues and payment delays • Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections • Support process improvement efforts to increase efficiency and reduce billing errors • Ensure all work complies with company policies and applicable healthcare regulations What We’re Looking For Required • 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred) • High school diploma required; associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred • Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management • Familiarity with provider credentialing and payer enrollment concepts • Understanding of accounts receivable and A/R follow-up • Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred • Experience with EHR, PM, billing, or payer portal systems is a plus • Strong attention to detail and organizational skills • Good written and verbal communication skills • Ability to manage multiple priorities and meet deadlines in a remote environment • Proficiency in Microsoft Excel, Google Sheets, and standard office tools </div> <div class="x_x_elementToProof"> </div> <div class="x_x_elementToProof">Preferred • Eagerness to learn and grow within healthcare operations • Problem-solving mindset with a willingness to investigate issues • Ability to work independently while coll

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