RCM Specialist, Medical Biller

Workit Health

. Work rejections and denials as they come in .

Posted 10/27/2026full-timeUnited StatesJunior💰 $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing processes, including claims management, patient eligibility verification, and appeals generation. Proficient in utilizing medical software and maintaining compliance with HIPAA regulations while delivering exceptional customer service.

Highest-signal resume keywords

Medical Billing ExperienceClaims ProcessingPatient Eligibility VerificationEHR Systems ProficiencyStrong Analytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementAppeals GenerationPayment PostingMedical Software ProficiencyInsurance Claims Resolution

Soft Skills

Detail-OrientedOrganizational SkillsTime ManagementCustomer Service ExcellenceProblem-Solving

Tools & Technologies

MS WordGoogle SheetsMS ExcelElationCandid

Certifications & Qualifications

CPCCPB

Industry Keywords

HIPAA ComplianceInsurance PayersPatient Accounts AuditingCoordination of BenefitsClaims Denial Trends

About the role

Key responsibilities & impact

Work rejections and denials as they come in
Escalate denial or rejection trends as identified
Verify patient eligibility and benefits, including coordination of benefits
Identify and resolve claims processing issues, including pre-submission errors
Generate appeals or reprocess claims as needed
Communicate with patients, physicians, management, staff, and third-party representatives
Contact insurance payers for eligibility, claims resolution, and authorization requests
Submit medical records to insurance when needed
Review and audit patient accounts for accuracy
Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards
Respond promptly to calls, chats, and voicemails during business hours
Ensure timely completion of daily tasks
Perform all other duties as assigned

Requirements

What you’ll need

1-2 years previous Medical Billing experience
CPC or CPB a plus but not required
Payment Posting is a plus but not required
Must be able to work independently and rely on personal knowledge/experience for problem-solving
Must have experience with MS Word and Google Sheets or MS Excel
Must be detail-oriented and have excellent organizational and time management skills
Candidates must excel at providing a high level of customer service and be able to work in a team environment
Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude
Experience with calling health insurance plans is a must
Proficiency in medical software, insurance websites, and EHR systems; Elation or Candid preferred
Ability to work Monday-Friday, 8:00 AM-4:30 PM local time
Must maintain compliance with professional standards, company policies, and federal, state, and HIPAA regulations

Benefits

Comp & perks

Fully remote work
5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!)
11 paid holidays
Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs
12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families)
401k + 4% matching
Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA)
Health Savings Accounts (HSA)
Employee assistance program, complete with financial coaching and counseling sessions
Professional development allowance for Providers and Behavioral Health team
Opportunities for internal mobility and growth at a Company with a proven track record of really promoting internally
Vibrant, democratized culture with clubs and multiple ERG groups