RCM AR Specialist (Remote - US)

This position is posted by Jobgether on behalf of a partner company. We are currently looking for an RCM AR Specialist in the United States.

This role offers an excellent opportunity to join a collaborative revenue cycle management team focused on ensuring timely insurance reimbursements and accurate claims processing. As an RCM AR Specialist, you will manage denied claims, follow up with payers, and provide critical support to field teams by identifying and resolving payment discrepancies. You will work with a defined portfolio of accounts, applying your expertise in billing, coding, and insurance processes to maximize revenue recovery. This position is ideal for a detail-oriented, analytical professional who thrives in a dynamic, process-driven environment and enjoys contributing to operational excellence in healthcare billing.

Accountabilities

• Follow up on denied and overdue insurance claims in a timely manner, using Explanation of Benefits (EOB) documents and reports.
• Submit appeals related to rate variances and communicate recurring payer issues to the supervisor.
• Provide required documentation, including medical records, to payers for claim processing determinations.
• Monitor and respond to payer correspondence, faxes, and field communications within established timeframes.
• Review aged accounts receivable and contact payers to resolve unpaid claims over 45 days old, documenting all actions.
• Maintain detailed and accurate system notes and ensure data integrity in all claim updates.
• Build and maintain positive working relationships with payer representatives and internal stakeholders.
• Attend team meetings, participate in continuing education, and comply with all compliance, privacy, and security training requirements.
• Demonstrate commitment to professional standards, policies, and ethical practices in all interactions.

• High school diploma or GED required; college education or trade school preferred.
• Previous experience in medical billing and collections, ideally 18 months or more.
• Strong understanding of insurance billing processes, EOB forms, and claim submission procedures.
• Working knowledge of managed care, commercial insurance, Medicare, and Medicaid reimbursement.
• Familiarity with CPT and ICD-10 coding, as well as practice management and Microsoft Office software.
• Excellent written and verbal communication skills, with strong attention to detail and problem-solving abilities.
• Comfortable with remote work setup, including reliable internet connection and participation in video meetings.
• Ability to work independently and maintain productivity while meeting deadlines in a fast-paced environment.

• Competitive compensation based on experience and location.
• Fully remote work flexibility within the United States.
• Comprehensive health, dental, and vision insurance.
• Paid training and ongoing professional development opportunities.
• Supportive, team-oriented work environment that values integrity and continuous improvement.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

When you apply, your profile goes through our AI-powered screening process designed to identify top talent efficiently and fairly.
🔍 Our AI evaluates your CV and LinkedIn profile thoroughly, analyzing your skills, experience, and achievements.
📊 It compares your profile to the job’s core requirements and past success factors to determine your match score.
🎯 Based on this analysis, we automatically shortlist the 3 candidates with the highest match to the role.
🧠 When necessary, our human team may perform an additional manual review to ensure no strong profile is missed.

The process is transparent, skills-based, and free of bias — focusing solely on your fit for the role.
Once the shortlist is completed, we share it directly with the company that owns the job opening. The final decision and next steps (such as interviews or additional assessments) are then made by their internal hiring team.

Thank you for your interest!

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