Compensation: $35 per hour
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.
About the Role
We're looking for a Junior RCM Specialist to support the full revenue cycle โ 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.
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.
Schedule: Monday - Friday Days with 3 days in office
What You'll Do
โข Support claim submission to ensure timely, accurate billing
โข Monitor claim status and follow up on unpaid or denied claims
โข Assist with provider credentialing and payer enrollment, keeping documentation and records current
โข Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances
โข Support denial management by identifying issues, documenting trends, and escalating complex cases
โข Post payments, adjustments, and remittance information accurately
โข Reconcile billing discrepancies and resolve account issues
โข Verify patient eligibility, insurance information, and benefits as part of the insurance workflow
โข Maintain documentation of billing activity, follow-up efforts, and account status
โข Communicate with payers, vendors, and internal teams on claim issues and payment delays
โข Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections
โข Support process improvement efforts to increase efficiency and reduce billing errors
โข Ensure all work complies with company policies and applicable healthcare regulations
What We're Looking For
Required
โข 1โ2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred)
โข High school diploma required; associate's or bachelor's in healthcare administration, business, finance, or a related field preferred
โข Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management
โข Familiarity with provider credentialing and payer enrollment concepts
โข Understanding of accounts receivable and A/R follow-up
โข Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred
โข Experience with EHR, PM, billing, or payer portal systems is a plus
โข Strong attention to detail and organizational skills
โข Good written and verbal communication skills
โข Ability to manage multiple priorities and meet deadlines in a remote environment
โข Proficiency in Microsoft Excel, Google Sheets, and standard office tools
Preferredโข Eagerness to learn and grow within healthcare operations
โข Problem-solving mindset with a willingness to investigate issues
โข Ability to work independently while collaborating with a remote team
โข Strong sense of accountability and follow-through
โข Comfort in a dynamic, fast-growing organization
Technical Requirements:
ยท Computer: Windows or Apple Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least Windows 10 or MacOS 13.
ยท Headphones: Wired headphones required for optimal audio quality.โฏ
ยท Internet Speed: Meet minimum internet speed requirements (50 MBPS download speed and 20 MBPS upload speed), with a wired connection to the router. Must have an ethernet cable connecting computer directly into router
ยท Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type).โฏโฏ
ยท Video Capability Required: Required for video calls.โฏ(Webcam) Laptops will come with a built in webcam which is fine. If it doesn't you'll need to get one.
ยท Recommended Equipment: A second monitor is suggested for laptop users; dual monitors for PC users.โฏ
Why CareTalk Health
- Opportunity to grow with an innovative national virtual care organization
- Exposure to a wide range of revenue cycle operations and healthcare workflows
- Collaborative, mission-driven remote work environment
- Competitive compensation and benefits package, based on experience
CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.