Junior Revenue Cycle Management (RCM) Specialist - REMOTE
United States ·Posted 3mo ago
<div><strong>Job Title: Junior Revenue Cycle Management (RCM) Specialist</strong></div> <div><strong>Location:</strong> Remote - United States </div> <div class="x_x_elementToProof"><strong>Employment Type: </strong>FT W2</div> <div class="x_x_elementToProof"><strong>Compensation: </strong>$35 per hour <hr> <p>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.</p> <p><strong>About the Role</strong></p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">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.</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.0pt;"> </p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">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.</p> <p>Schedule: Monday - Friday Days </p> <hr> <p><strong>What You’ll Do </strong></p> <p>• Support claim submission to ensure timely, accurate billing</p> <p>• Monitor claim status and follow up on unpaid or denied claims</p> <p>• Assist with provider credentialing and payer enrollment, keeping documentation and records current</p> <p>• Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances</p> <p>• Support denial management by identifying issues, documenting trends, and escalating complex cases</p> <p>• Post payments, adjustments, and remittance information accurately</p> <p>• Reconcile billing discrepancies and resolve account issues</p> <p>• Verify patient eligibility, insurance information, and benefits as part of the insurance workflow</p> <p>• Maintain documentation of billing activity, follow-up efforts, and account status</p> <p>• Communicate with payers, vendors, and internal teams on claim issues and payment delays</p> <p>• Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections</p> <p>• Support process improvement efforts to increase efficiency and reduce billing errors</p> <p>• Ensure all work complies with company policies and applicable healthcare regulations</p> <p><strong>What We’re Looking For</strong></p> <p><strong>Required</strong></p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred)</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• High school diploma required; associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Familiarity with provider credentialing and payer enrollment concepts</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Understanding of accounts receivable and A/R follow-up</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Experience with EHR, PM, billing, or payer portal systems is a plus</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Strong attention to detail and organizational skills</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Good written and verbal communication skills</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Ability to manage multiple priorities and meet deadlines in a remote environment</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Proficiency in Microsoft Excel, Google Sheets, and standard office tools</p> </div> <div class="x_x_elementToProof"> </div> <div class="x_x_elementToProof"><strong>Preferred</strong> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Eagerness to learn and grow within healthcare operations</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Problem-solving mindset with a willingness to investigate issues</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Ability to work independently while collaborating with a remote team</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Strong sense of accountability and follow-through</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.25pt; color: #242424;">• Comfort in a dynamic, fast-growing organization</p> <p style="margin: 0in; font-family: 'Segoe UI'; font-size: 11.0pt;"> </p> <p><strong>Work Location Requirement</strong></p> <p><span data-teams="true">This is a remote U.S.-based position. Employees must perform all work physically within the United States. International work is not permitted during scheduled work hours.</span></p> <p><strong>Work Environment </strong></p> <p>This is a remote position and may be “on camera” at any time. The Junior Revenue Cycle Management Specialist will work from a home office, requiring reliable internet connectivity and a secure, private workspace.</p> <hr> <p><strong>Technical Requirements:</strong></p> <ul> <li> <div><strong>Computer:</strong></div> <ul data-editing-info="{"applyListStyleFromLevel":true}"> <li> <div>Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones)</div> </li> <li> <div><strong>Must </strong>have at least Windows 10 or macOS 14 Sonoma.</div> </li> </ul> </li> <li> <div><strong>Hardware: </strong></div> <ul data-editing-info="{"applyListStyleFromLevel":true}"> <li> <div>Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs)</div> </li> <li> <div>RAM: 16 GB</div> </li> </ul> </li> <li> <div><strong>Headphones: </strong>Wired headphones required for optimal audio quality. (NO built-in mics)</div> </li> <li> <div><strong>Internet Speed:</strong> Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router.</div> </li> <li> <div><strong>Browser and System: </strong>Use Google Chrome with Amazon Workspaces (regardless of computer type). </div> </li> <li> <div><strong>Webcam: </strong>A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam.</div> </li> <li> <div><strong>Recommended Equipment:</strong> A second monitor is highly suggested for laptop users; dual monitors for PC users. </div> </li> </ul> <hr> <p><strong>Why CareTalk Health</strong></p> <ul> <li>Opportunity to grow with an innovative national virtual care organization</li> <li>Exposure to a wide range of revenue cycle operations and healthcare workflows</li> <li>Collaborative, mission-driven remote work environment</li> <li>Competitive compensation and benefits package, based on experience</li> </ul> <p><em>CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.</em></p> </div> <div class="x_x_elementToProof"> <p><em>California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: <span data-teams="true"><a id="menur551c" class="fui-Link ___1q1shib f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1s184ao f1mk8lai fnbmjn9 f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn" href="https://caretalkhealth.com/california-privacy-notice" target="_blank">https://caretalkhealth.com/california-privacy-notice</a></span></em></p> </div>