Healthcare RCM Representative
Job Summary
We are seeking highly analytical RCM Specialists to manage the full cycle of medical billing and coding. This role involves a blend of data-driven chart reviews and back-office insurance follow-ups. Responsibilities include ensuring maximum reimbursement, compliance, and handling prior authorizations.
Responsibilities
- Manage full cycle medical billing and coding
- Perform data-driven chart reviews
- Handle back-office insurance follow-ups
- Conduct insurance verification and eligibility checks
- Manage medical call center and prior authorizations
Required Skills
- 2+ years RCM experience
- Chart Reviews & DRG Audits
- E&M Coding
- Medical Billing & A/R Follow-up
- Prior Authorizations
- CDI/CDP/CCDS/CPHQ/CMAS/CPC certification preferred
Job Details
Job Description:
We are looking for highly analytical RCM Specialists to manage the full cycle of medical billing and coding. This is a blended role involving data-driven chart reviews and back-office insurance follow-ups to ensure maximum reimbursement and compliance.
RCM Blended Senior 2+ years experience required
Key Skills: Chart Reviews, DRG Audits, E&M Coding, CDI
Pay: up to 45,000
certifications such as CDIP, CCDS, CPHQ, CMAS, or CPC are highly preferred.
RCM Blended 2+ years experience required
Insurance Verification, Billing, Eligibility, A/R Follow-up
Pay: up to 35,000
RCM Voice
Medical Call Center, Prior Authorizations (Payers/Providers)
Pay: up to 30,500
Urgency: Must be able to start ASAP.