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Remote Rcm Specialist Jobs in New York (NOW HIRING)

... specialists, and more to deliver exceptional care. Interested? Join us. What you'll do * Own and ... Familiarity with healthcare IT ecosystems (EHR, RCM, interoperability) * Technical sales experience ...

Epic Denials Management Operator

Stamford, CT · Remote

$19.25 - $25.50/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Epic Denials Management Operator

Morristown, NJ · Remote

$18.50 - $24.75/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Epic Denials Management Operator

New York, NY · Remote

$19.75 - $26.25/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Epic Denials Management Operator

Jersey City, NJ · Remote

$18.75 - $25/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Epic Denials Management Operator

Jericho, NY · Remote

$18.75 - $25/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Remote Rcm Specialist information

What challenges do remote RCM specialists face and how can they overcome them?

Remote RCM Specialists often encounter challenges such as maintaining clear communication with healthcare providers, staying updated on regulatory changes, and managing sensitive data securely. To overcome these, it's important to use robust collaboration tools, participate in ongoing training, and adhere to best practices for data privacy. Proactive organization and regular check-ins with team members also help ensure seamless workflow and high accuracy in billing and coding tasks.

What is a remote RCM specialist?

Remote RCM (Revenue Cycle Management) Specialists are professionals who manage the financial processes related to healthcare billing and payments from a remote location. Their primary responsibilities include handling patient billing, insurance claims, payment collection, and ensuring compliance with healthcare regulations. By performing these tasks remotely, they help healthcare providers maintain efficient revenue cycles while reducing overhead costs. Remote RCM Specialists also work with various software systems to monitor accounts and resolve billing issues.

What skills and qualifications are needed to be a remote RCM specialist?

To thrive as a Remote RCM (Revenue Cycle Management) Specialist, you need strong knowledge of medical billing, coding procedures, insurance claims, and typically experience with healthcare administration or a related field. Familiarity with billing software, electronic health records (EHR) systems, and certifications like Certified Revenue Cycle Specialist (CRCS) are often required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving discrepancies and collaborating with healthcare providers remotely. These skills ensure accurate, timely revenue collection and compliance, which are vital for the financial health of healthcare organizations.

What is the difference between Remote Rcm Specialist vs Remote Medical Billing Specialist?

AspectRemote Rcm SpecialistRemote Medical Billing Specialist
CredentialsCertification in Revenue Cycle Management, CPC or equivalentCertification in Medical Billing, CPC or similar
Work EnvironmentHealthcare providers, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Job FocusEnd-to-end revenue cycle, including claims processing and denial managementProcessing claims, invoicing, and payment posting

The Remote Rcm Specialist and Remote Medical Billing Specialist roles share similar credentials and work environments, often overlapping in healthcare settings. However, the Rcm Specialist typically handles a broader scope of revenue cycle tasks, including denial management and collections, while the Medical Billing Specialist focuses primarily on claims submission and payment posting. Both roles are essential in healthcare revenue management and are frequently searched for by professionals seeking remote opportunities in healthcare billing and revenue cycle management.

What are the most commonly searched types of Rcm Specialist jobs in New York?

The most popular types of Rcm Specialist jobs in New York are:

What cities in New York are hiring for Remote Rcm Specialist jobs?

Cities in New York with the most Remote Rcm Specialist job openings:

Director of ABA Revenue Cycle Management (Remote)

RightWay ABA

Clifton, NJ • Remote

$100K - $150K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago


Job description

Director of Revenue Cycle Management (Remote)
Compensation: $100,000–$150,000 total compensation (base salary + performance incentives), commensurate with experience

About RightWay ABA

RightWay ABA is a growing Applied Behavior Analysis (ABA) therapy practice serving families across New Jersey through five center locations - Paramus, Piscataway, Jersey City, Pompton Plains, and Tinton Falls - as well as in-home and daycare-based services.

We're bringing our revenue cycle fully in-house and are seeking a strategic, hands-on leader to own and optimize the entire function end-to-end.

About the Role

The Director of Revenue Cycle Management is responsible for RightWay ABA's complete revenue cycle (including contracting and credentialing, from eligibility and authorizations, and billing, collections, and reporting). This leader will oversee the in-house RCM team, establish processes and performance standards, manage payer relationships, and serve as the executive owner of the organization's financial performance.

This is a highly autonomous leadership position with broad ownership, significant visibility, and direct impact on the company's growth and profitability. The role reports directly to the CEO.

Benefits & Perks

  • Unlimited PTO — Enjoy flexible, unlimited paid time off, provided weekly, monthly, and annual billable requirements are consistently met.

  • 401(k) Retirement Plan — Invest in your future with access to our company-sponsored 401(k) program.

  • Comprehensive Health Coverage — Medical, dental, and vision insurance available to all eligible full-time employees, with the company covering a portion of the monthly premium.

  • Fully remote

Responsibilities
  • Own and oversee the full revenue cycle strategy and operations, including eligibility verification, authorizations, charge entry, claims submission, payment posting, accounts receivable, denials, and appeals.

  • Lead payer contracting initiatives and reimbursement rate negotiations, identifying below-market agreements and driving renegotiations.

  • Oversee provider credentialing and recredentialing with commercial payers and Medicaid MCOs.

  • Build, mentor, and scale the internal RCM team, including billing, credentialing, and authorization specialists.

  • Establish and monitor key performance indicators, including collections, days in AR, denial rates, clean claim rates, and net collection rates.

  • Develop denial prevention strategies and address root causes to reduce recurring issues.

  • Forecast cash flow and reimbursement trends and partner with executive leadership on financial planning and growth initiatives.

  • Stay current on payer policy changes, reimbursement updates, and regulatory requirements, adapting workflows as needed.

  • Collaborate closely with intake and clinical leadership to ensure authorizations, coverage, and service delivery remain aligned.

  • Evaluate and continuously improve RCM systems, workflows, reporting, and automation opportunities.

Requirements
  • Minimum of 6 years of revenue cycle management experience, including at least 3 years leading an RCM, billing, or healthcare finance function.

  • Deep understanding of the full revenue cycle, including eligibility, authorizations, claims, ERA/835 remittances, denial management, appeals, and accounts receivable.

  • Hands-on experience with payer contracting, reimbursement negotiations, credentialing, and CAQH management.

  • Demonstrated success improving collections, reducing AR aging, and lowering denial rates.

  • Strong leadership, analytical, and communication skills with the ability to own financial outcomes.

  • Comfortable operating both strategically and tactically within a fast-paced, growing organization.

Preferred Qualifications
  • Revenue cycle leadership experience within ABA or behavioral health organizations.

  • Familiarity with New Jersey payers, including Horizon, Aetna, UnitedHealthcare, and Medicaid MCOs, as well as contracted-rate analysis.

  • Experience with EMR/practice management systems and workflow tools such as Monday.com.

  • Knowledge of ABA CPT codes, including 97151, 97155, and 97156, and related authorization workflows.

To apply, please submit your resume along with a brief note describing your revenue cycle leadership experience, key accomplishments, and measurable results.

RightWay ABA is an Equal Opportunity Employer.