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Remote Rcm Specialist Jobs in Tennessee (NOW HIRING)

Pacesetter Health

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

Enablecomp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

... 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 ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

... 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 ...

Enablecomp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

... 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 ...

Qualifacts

RCMS Configuration Associate

Nashville, TN · On-site +1

Support new customer RCM implementation activities from kickoff through go-live under the guidance ... specialists, credentialing teams, billing teams, and customer stakeholders in a remote environment.

EnableComp

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 ...

Enablecomp

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 ...

Enablecomp

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 ...

Deloitte

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 ...

Deloitte

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 ...

Deloitte

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 ...

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Remote Rcm Specialist information

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 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 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 popular job titles related to Remote Rcm Specialist jobs in Tennessee?

For Remote Rcm Specialist jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Rcm Specialist jobs in Tennessee look for?

The top searched job categories for Remote Rcm Specialist jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Rcm Specialist jobs?

Cities in Tennessee with the most Remote Rcm Specialist job openings:

Remote Rcm Specialist jobs near you

RCM Sales Specialist

Nashville, TN • On-site, Remote

Healthcare Systems and Technologies, LLC
See more jobs at Healthcare Systems and Technologies, LLCexternal

Full-time

Medical, Retirement, PTO

Re-posted 13 days ago

Job description

Open Position: RCM Sales Specialist
Reports to: Chief Revenue Officer
Location: Remote
About Us:
HST Pathways is on a mission to transform healthcare with innovative software technology that enables surgery centers to provide more cost-efficient patient care and better outcomes. Our suite of solutions spans the entire case lifecycle, including scheduling, care coordination, clinical documentation, revenue cycle, supply chain and analytics. We are the fastest growing ASC software company and serve over 1,600 clients, but we're just getting started and have plans to 10X the value we offer. However, our big ambitions are only as strong as the team behind them, which is why we're looking to build our team with the best.
What We're Looking For:
You are inspiring, authentic, highly motivated, results-driven, and a continuous learner. You want to work for a company with a positive work culture that is fast-paced and evolving. You believe that working for a diverse and inclusive organization is best and holds the values of One Team, Inclusion, Transparency, Agility, Empathy, Growth Mindset and Proactivity - and you're ready to be an ambassador who exemplifies these qualities.
You are a revenue cycle management expert who understands the operational, financial, and reimbursement challenges facing ambulatory surgery centers. You can confidently engage with revenue cycle teams, physician owners, business office leaders, and administrators to benchmark performance, quantify opportunities, and position HST's revenue cycle management services as a strategic solution.
You are comfortable partnering with sales executives in a specialist capacity, helping drive complex RCM conversations, supporting deal strategy, and bringing subject matter expertise to both new business and existing customer opportunities. You are data driven, consultative, and adept at breaking down the RCM process in a simple and easy-to-understand manner.
Responsibilities:
An experienced Revenue Cycle Management Sales Specialist to help our Revenue Team grow bookings and expand adoption of HST's revenue cycle management services. This role will play a crucial part in helping execute revenue cycle management sales cycles.
Revenue Cycle Sales Support & Deal Execution
  • Support Account Executives in selling HST's revenue cycle management services into the Ambulatory Surgery Center market, serving as the RCM subject matter expert throughout the sales process.
  • Help qualify RCM opportunities within both new logo prospects and existing customer accounts, and partner with sellers to develop account strategies, opportunity plans, business cases, and deal execution plans.
  • Lead RCM-focused discovery conversations to understand billing operations, collections performance, denial trends, staffing challenges, payer issues, cash acceleration, and overall revenue cycle performance.
  • Present HST's RCM services in a clear, consultative, and value-oriented manner, helping prospects and customers understand how improved revenue cycle performance can drive financial outcomes, operational efficiency, and better business visibility.
  • Quantify customer pain points and articulate the financial and operational impact of improving revenue cycle performance, bringing credibility and depth to discovery, solution positioning, and executive-level discussions.
  • Partner closely with Account Executives, sales leadership, demand generation, and operations teams to build and advance pipeline, support proposal development, pricing conversations, RFP responses, and executive presentations.
  • Follow and help improve HST's sales methodology as it relates to consultative RCM selling, while maintaining accurate opportunity notes, activities, and pipeline information in Salesforce.
Cross-Functional Collaboration
  • Collaborate with internal revenue cycle operations, implementation, customer success, product, and sales teams to align proposed solutions with customer needs.
  • Partner with internal teams to ensure prospect and customer feedback is communicated clearly and used to improve positioning, solution design, and go-to-market execution.
  • Work with a Revenue Team that prioritizes coaching, practice, and continuous improvement.
Sales Enablement & Market Expertise
  • Provide input into sales enablement materials, talk tracks, discovery guides, objection handling, and competitive positioning for RCM services.
  • Train and coach sellers on how to identify RCM opportunities, ask effective discovery questions, and position HST's RCM value proposition.
  • Stay current on ASC revenue cycle trends, payer dynamics, reimbursement challenges, outsourcing trends, and competitive offerings.

Qualifications:
  • 5+ years of healthcare revenue cycle management experience, preferably with ambulatory surgery centers, surgical practices, physician groups, or outpatient healthcare providers.
  • Experience in sales, business development, solution consulting, client-facing RCM leadership, or a similar commercial role preferred.
  • Strong understanding of the revenue cycle, including patient access, coding, charge capture, billing, claims submission, payment posting, denials management, collections, A/R management, and reporting.
  • Demonstrated ability to communicate with executive, financial, operational, and business office stakeholders.
  • Ability to translate complex RCM issues into clear business value and financial impact.
  • Experience supporting complex sales cycles with multiple stakeholders.
  • Strong presentation, discovery, consultative selling, and relationship-building skills.
  • Experience using CRM systems; Salesforce preferred.
  • Comfortable partnering cross-functionally with sales, operations, customer success, implementation, and product teams.
  • ASC, RCM outsourcing, healthcare services, or healthcare SaaS experience is strongly preferred.
  • Bachelor's degree is a plus.

Team Culture + Values:
  • One Team: We win together, support each other, and share credit.
  • Inclusion: We respect differences and welcome every voice.
  • Transparency: We're open, honest, and clear about our goals.
  • Agility: We move fast, test ideas, and learn as we go.
  • Empathy: We listen, care, and anticipate others' needs.
  • Growth Mindset: We stay curious, keep learning, and aim to improve every day.
  • Proactivity: We act thoughtfully, own outcomes, and bring our best selves to work.

Perks & Benefits:
  • Remote work environment
  • Health benefits paid for employees
  • Flexible Paid Time Off Policy
  • 11 company holidays per year
  • Paid parental leave
  • 401K with matching contributions
  • Learning and development allowance
  • A diverse, inclusive, and fun team!

HST Pathways celebrates diversity and is steadfast in fostering an inclusive work environment where employees feel valued, respected, and engaged. We champion and nurture a culture where inclusiveness is instinctive and fuels innovation, connection, and a strong sense of "One Team". HST is deeply committed to representing and reflecting the unique experiences, perspectives and viewpoints of our employees, customers, and the communities we serve.

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