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Remote Rcm Specialist Jobs in Tennessee (NOW HIRING)

Medical Billing Specialist

Brentwood, TN · On-site +1

$17.25 - $22.25/hr

As a member of the RCM team, you will: * Scrub claims to ensure that all diagnosis codes (ICD-10-CM ... Eligible to Work Remote * Quarterly Bonus Program * Health Insurance * Dental amp; Vision Insurance

... RCM intelligent automation platform to improve financial sustainability for hospitals, health ... This role requires certification as a Certified Coding Specialist (CCS) and a deep understanding of ...

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

... RCM intelligent automation platform to improve financial sustainability for hospitals, health ... This role requires certification as a Certified Coding Specialist (CCS) and a deep understanding of ...

Epic Denials Management Operator

Hermitage, TN · Remote

$15.75 - $21/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

Memphis, TN · Remote

$17.50 - $23.25/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

Nashville, TN · Remote

$17.50 - $23.25/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 cities in Tennessee are hiring for Remote Rcm Specialist jobs? Cities in Tennessee with the most Remote Rcm Specialist job openings:

Medical Billing Specialist

Pacesetter Health

Brentwood, TN • On-site, Remote

$17.25 - $22.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Job description

Pacesetter Health is a leading growth partner for podiatry clinics throughout the country. The Company is actively partnering with growth-oriented independent podiatrists and podiatry groups across the United States. The company is backed by private equity investors.
We would love for you to join our Revenue Cycle Management team in Nashville, TN!
We offer a competitive base pay, eligibility for quarterly bonuses and an excellent benefits program. This position is eligible to work remotely.
We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments, resolving denials, and AR management.
As a member of the RCM team, you will:
  • Scrub claims to ensure that all diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) meet coding standards and comply with coding guidelines and regulations
  • Submit scrubbed claims to appropriate payers
  • Post payments, AR management, review and resolve denials and inquiries
  • Stay updated with the latest coding guidelines, regulations and industry changes
  • Maintain confidentiality and adhere to HIPAA regulations
  • Balance cash receipts report to all batch receipts daily
  • Document all follow up efforts in a clear and concise manner into the AR system
  • Initiate refunds if necessary
  • Support RCM initiatives and relevant RCM efforts
What you bring:
  • 2 years of medical coding and billing experience required
  • Knowledge of anatomy, physiology, and medical terminology
  • EHR system experience
  • Strong analytical and problem-solving skills
  • Excellent attention to detail and highly organized
  • Ability to work independently and in a team environment
  • Effective communication skills, both written and verbal
  • Ability to maintain benchmarks such as production and low error rate
Benefits:
  • Eligible to Work Remote
  • Quarterly Bonus Program
  • Health Insurance
  • Dental amp; Vision Insurance
  • Flexible Spending and HSA plans
  • Life amp; Disability Insurance
  • 401k with employer match
  • Paid Time Off