RCM Specialist / Medical Biller (Hybrid)

The role

This is a full-time RCM Specialist and Medical Biller role. You will work claim rejections and denials, escalate denial trends, verify patient eligibility, and contact insurance payers.

What you will do

• Work rejections and denials as they come in and escalate denial or rejection trends
• 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
• 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
• Respond promptly to all calls, chats, and voicemails during business hours
• All other duties as assigned

Required qualifications

• 1-2 years previous medical billing experience
• Experience with calling health insurance plans
• Proficiency in medical software, insurance websites, and EHR systems
• Experience with MS Word and Google Sheets or MS Excel
• Must be able to work independently
• Detail-oriented with excellent organizational and time management skills
• Excellent customer service skills and ability to work in a team environment
• Strong analytical skills, writing and verbal communication skills, and a positive attitude

Nice to have

• Experience billing for addiction medicine and/or outpatient medication-assisted treatment
• Experience billing for telemedicine services
• CPC or CPB certification
• Payment posting experience
• Experience with Elation or Candid

Benefits

• 5 weeks PTO, including birthday, 2 mental health days, and 2 floating holidays
• 11 paid holidays
• Health, dental, pharmacy, and vision insurance
• 12 weeks paid parental leave after 1 year of employment
• 401k with 4% matching
• Healthcare and dependent care FSA
• Health Savings Account (HSA)
• Employee assistance program with financial coaching and counseling
• Internal mobility and growth opportunities
• Clubs and employee resource groups

Before you apply

• Experience calling health insurance plans is a must
• Applicants in addiction recovery are encouraged to apply
• Candidates are asked not to use AI tools or external assistance during interviews or assessments

About the company

Workit Health is a telemedicine provider of evidence-based addiction care, founded by people in recovery. The company focuses on expanding access to treatment for substance use disorder.