Medical Billing and A/R Follow Up Specialist (IL, Behavioral)

Ever wondered if your precise billing skills could make a real difference in healthcare, all from the comfort of your own space? RCM Staff LLC is actively searching for a dedicated Medical Billing and A/R Follow Up Specialist to join our growing team. We need someone who thrives on ensuring mental health practices in Illinois receive the payments they deserve, helping them focus on what truly matters: providing exceptional patient care. If you are passionate about the revenue cycle and ready to contribute your expertise to a critical area of behavioral health, this could be your next exciting step.

Overview

This is a fully remote opportunity. While you will support a thriving psychiatry practice based in Illinois, this role is open to talented professionals around the globe. We are looking for a full time Medical Billing and A/R Follow Up Specialist. You will skillfully manage professional claims throughout the entire revenue cycle, from initial submission to final payment. Your scope includes inpatient psychiatric services, skilled nursing facilities, rehabilitation centers, intensive outpatient programs, and standard outpatient care. Key responsibilities involve submitting clean claims, diligently resolving rejections and denials, proactively pursuing unpaid and underpaid accounts, and accurately posting payments. This position demands exceptional attention to detail, persistent follow up, and significant experience working with diverse U.S. health insurance plans, including Medicare and Medicaid.

Key Responsibilities

Accurately verify patient eligibility, benefits, and coordination of benefits, confirming all authorization requirements for intensive outpatient and inpatient services.
Prepare and submit professional claims with precision, ensuring the correct place of service, provider information, facility details, and dates of service.
Diligently work clearinghouse rejections and front end edits on a daily basis, correcting and resubmitting claims promptly, ideally within the same day.
Proactively follow up on unpaid claims using payer portals and direct phone communication, prioritizing aged accounts and those nearing crucial payment deadlines.
Efficiently manage and resolve denials by identifying root causes, appealing incorrect denials, and ensuring timely resubmission or correction.
Process patient and insurance payments accurately, reconciling accounts and addressing any discrepancies.
Maintain up to date knowledge of billing regulations, payer policies, and compliance standards relevant to behavioral health and psychiatric services.
Collaborate effectively with the practice team to gather necessary clinical documentation and resolve billing related inquiries.

Requirements

At least 2 3 years of proven experience in medical billing and A/R follow up within the US healthcare system.
Demonstrable expertise in managing the full revenue cycle for professional claims, including submission, rejection resolution, denial management, and appeals.
Solid understanding of U.S. health insurance plans, including Medicare and Medicaid, and familiarity with behavioral health billing codes (CPT, ICD 10).
Strong analytical skills and exceptional attention to detail for claim scrubbing and error identification.
Outstanding organizational abilities and a highly persistent approach to follow up and problem solving.
Proficiency with medical billing software and electronic health records (EHR) systems.
Excellent written and verbal communication skills for interacting with payers and internal teams.
The ability to work independently and manage a high volume of tasks efficiently in a remote setting.
A stable and reliable internet connection, along with a dedicated home office environment suitable for remote work.

What You'll Gain

The opportunity to make a tangible impact on a behavioral health practice, directly supporting patient care.
Work flexibility within a fully remote, supportive environment that values autonomy and results.
Continuous professional growth through exposure to diverse claims scenarios and evolving payer landscapes.
Be part of a dedicated team at RCM Staff LLC, known for its commitment to excellence in revenue cycle management.
A competitive compensation package that recognizes your expertise and contributions.