Medical Billing and A/R Follow-Up Specialist – Behavioral

RCM Staff LLC

. Verify eligibility, benefits, and coordination of benefits, and confirm authorization requirements for intensive outpatient and inpatient services .

Posted 10/30/2026full-timeRemote • Illinois • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in U.S. healthcare insurance billing, including claim submission, denial management, and appeals processes. Proficient in tracking accounts receivable and ensuring compliance with HIPAA regulations while managing claims across multiple payers.

Highest-signal resume keywords

U.S. Healthcare Insurance BillingClaim SubmissionDenial ManagementElectronic Claims and RemittancePsychiatric CPT Codes

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim SubmissionDenial ManagementAppeals ProcessingElectronic Claims (837/835)Remittance AdviceBasic Excel SkillsA/R Follow-UpPayer Portal NavigationPayment ReconciliationDocumentation

Soft Skills

Attention to DetailFollow-Up SkillsIndependent Work

Tools & Technologies

Payer PortalsInsurance WebsitesBilling Systems

Industry Keywords

MedicareMedicaidManaged MedicaidMedicare AdvantageIllinois MedicaidBehavioral Health BillingPsychiatry PracticesCPT CodesInpatient BillingOutpatient Billing

About the role

Key responsibilities & impact

Verify eligibility, benefits, and coordination of benefits, and confirm authorization requirements for intensive outpatient and inpatient services
Prepare and submit professional claims, confirming the correct place of service, provider, facility, and date of service
Work clearinghouse rejections and front-end edits daily, correcting and resubmitting claims the same day where possible
Follow up on unpaid claims by payer portal and phone, prioritizing aged claims and those at risk of missing a deadline
Work on denials using remittance advice and denial codes, then correct claims and file timely appeals and reconsiderations
Track timely filing and appeal deadlines by payer so that no claim is lost to a filing limit
Post and reconcile payments from ERAs and EOBs, and flag underpayments against fee schedules for review
Report recurring denial patterns by payer, provider, and reason code to the practice’s billing leadership
Document every action clearly in the billing system
Protect patient information and follow HIPAA requirements

Requirements

What you’ll need

At least 2 years of experience with U.S. healthcare insurance billing and A/R follow-up
Hands-on experience with claim submission, denial management, and appeals, including reading denial and remark codes
Familiarity with commercial insurance and government health plans, including Medicare, Medicaid, managed Medicaid, and Medicare Advantage
Experience using payer portals and insurance websites
Working knowledge of electronic claims and remittance (837/835, ERA/EOB)
Basic Excel skills for tracking A/R and denials
Strong written and spoken English
Excellent attention to detail and follow-up skills
Ability to work independently and manage a large queue of claims across multiple payers
Reliable internet connection and a suitable remote workspace
Familiarity with Illinois Medicaid/Medicare and its managed care plans
Experience supporting psychiatry or behavioral health practices
Familiarity with psychiatric CPT codes, such as hospital care, nursing facility visits, psychiatric diagnostic evaluations, psychotherapy add-on codes, and outpatient E/M
Experience billing across multiple care settings, such as inpatient, skilled nursing, intensive outpatient, and outpatient

Benefits

Comp & perks

Remote position
Full-time employment
Must be available during U.S. Central Time business hours