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Work From Home Rcm Specialist Jobs (NOW HIRING)

Paradigm Oral Health

RCM Specialist II - REMOTE

$19.25 - $23.50/hr

RCM Specialist II The RCM Specialist II is an individual contributor role on the RCM team ... Work AR aging reports regularly to reduce days in AR and the percentage of AR over 90 days.

Workit Health

RCM Specialist

Albuquerque, NM · On-site +1

$18.75 - $25.75/hr

Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience ...

Workit Health

RCM Specialist

Scottsdale, AZ · On-site +1

$19.50 - $26.75/hr

Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience ...

Prochant US

Senior HME RCM Specialist

Work could be in intake, eligibility/prior authorization, qualification, confirmation, billing ... Minimum 2 years of experience in home HME billing and collections. * Experience using Brightree ...

Paradigm Oral Surgery

RCM Specialist II - REMOTE

$19.25 - $23.50/hr

Location - REMOTE Hours - Monday-Friday, 8-5 ROLE OVERVIEW The RCM Specialist II is an individual ... Work AR aging reports regularly to reduce days in AR and the percentage of AR over 90 days.

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

AOGarcia

Work From Home - Enrollment Specialist

Work From Home Financial Services Position Are you looking for a work-from-home opportunity where you can grow with a company, help others, and uphold the highest standards of integrity? Are you ...

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How much do work from home rcm specialist jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for work from home rcm specialist in the United States is $24.95, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $28.85 per hour, depending on experience, location, and employer.

What is a work from home RCM specialist?

A Work From Home RCM (Revenue Cycle Management) Specialist is responsible for managing the financial aspects of healthcare revenue, such as medical billing, claims processing, insurance verification, and payment posting. They ensure healthcare providers receive timely and accurate reimbursements while adhering to insurance policies and regulations. Working remotely, they use electronic health record (EHR) systems and billing software to perform their tasks efficiently. Strong attention to detail, knowledge of medical coding, and experience in RCM processes are essential for success in this role.

What does a work from home RCM specialist do?

As a Work From Home RCM Specialist, you will handle tasks such as processing insurance claims, reviewing patient billing information, conducting payment follow-ups, and resolving any discrepancies in accounts receivable. You'll interact regularly with healthcare providers, insurance companies, and sometimes patients to ensure timely and accurate reimbursement. Many positions also involve analyzing denials, identifying trends, and recommending process improvements for revenue optimization. Although you work remotely, you’ll often collaborate with remote teams through virtual meetings, messaging platforms, and regular updates to ensure smooth workflow and compliance with industry regulations.

What skills and qualifications are needed to thrive as a work from home RCM specialist?

To thrive as a Work From Home RCM Specialist, you need a solid understanding of medical billing, coding, healthcare reimbursement processes, and a relevant degree or equivalent experience. Familiarity with electronic health record (EHR) systems, billing software, and certifications such as Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS) are typically required. Strong attention to detail, effective communication, and time management skills are vital soft skills in this remote role. These competencies are crucial for ensuring accurate claims processing, optimizing revenue, and maintaining compliance in a virtual healthcare environment.

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Work From Home Rcm Specialist jobs near you
Infographic showing various Work From Home Rcm Specialist job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 100% Remote job distribution, with an average salary of $51,897 per year, or $25 per hour.

RCM Specialist II - REMOTE

Remote

Paradigm Oral Health
201 - 500 employees
Learn more about Paradigm Oral Healthexternal

$19.25 - $23.50/hr

Other

This job post has expired 4 days ago. Applications are no longer accepted.

Job description

RCM Specialist II

The RCM Specialist II is an individual contributor role on the RCM team, responsible for AR follow-up, posting payments, processing refunds and credits, and auditing accounts accurately. This role supports the full revenue cycle, helping ensure timely resolution of outstanding balances, clean financial records, and a smooth experience for both practices and patients. An ideal candidate has a strong understanding of AR processes, account research, and payer guidelines. They are detail-oriented, analytical, and confident in navigating account-level discrepancies and improving key revenue cycle metrics.

Key Responsibilities:

  • Perform all assigned RCM activities in accordance with best practices and internal SOPs.
  • Perform AR follow-up to resolve unpaid or underpaid claims, denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.)
  • Audit accounts to verify accurate claim submission, payment application, adjustments, and resolution of outstanding balances.
  • Review and resolve credit balances; process refunds to insurance and patients in compliance with regulations and internal policies.
  • Post all payments – insurance and patient – accurately and in a timely manner, including zero-dollar payments and remittance reconciliations (manual and electronic).
  • Apply adjustments and write-offs appropriately based on payer contracts and internal guidelines.
  • Work AR aging reports regularly to reduce days in AR and the percentage of AR over 90 days.
  • Maintain clear and thorough documentation of account activities, payer interactions, and refund processing steps.
  • Collaborate with internal teams (billing, front office) to ensure clean claims and quick resolution of issues.
  • Maintain compliance with HIPAA, payer guidelines, and internal policies.
  • Participate in team meetings to discuss performance metrics, workflow updates, and process improvements.
  • Support RCM management in understanding and self-identifying contributing factors to site-specific RCM KPIs, highlighting areas of concern and areas for improvement.

Essential Qualifications:

  • Prior experience in Dental Office workflows, Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process.
  • Must be knowledgeable of reimbursement/compliance process and procedures with all payors.
  • Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills).
  • Strong interpersonal and organizational skills. Ability to work within a team setting and as an individual contributor.
  • Excellent oral and written communication skills.
  • Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures.
  • Organized work habits, accuracy, and proven attention to detail with strong analytical skills.
  • Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred.

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