Part Time Revenue Cycle Management Specialist – Job Description
Position Summary
The Part Time Revenue Cycle Management Specialist this position is responsible for supporting the billing lifecycle with a focus on insurance and patient follow-up, accounts receivable (A/R) management and customer service for different locations and RCM software. This role also requires payment posting and refund identifying and processing.
We are a small RCM company that is growing. We work closely with our clients and patients. This position requires consistently upholding strong ethical standards, integrity and reliability.
The individual in this position ensures timely reimbursement, accurate account follow up, and respectful communication with patients, payers, teammates and clinics. Experience with AdvancedMD and Epic working in the allergy specialty is preferred.
Applicants must be based in California. This is a part-time position requiring approximately 30 hours per week with potential of increasing hours but not guaranteed. A background check is required. Hours are flexible between 5:00am PT-4:30pm PT.
Primary responsibilities include, but are not limited to:
1. Insurance Follow-Up & A/R Management
- Timely follow-up on outstanding insurance claims including rejections, no responses and denials to ensure prompt appeal and payment.
- Review insurance A/R aging reports, prioritize accounts, and resolve unpaid or delayed claims.
- Medical Records submission.
- Contact insurance payers to obtain claim status, resolve processing issues, clarify denials and appealing of denials.
- Document all actions taken on accounts within billing systems.
- Identify trends quickly in denials, front desk registration errors or coding issues and bring to management to help resolve.
- Appealing denials and follow up.
- Ability to review reports to identify inconsistencies and denial trends
2. Patient Follow-Up & Customer Service
- Contact patients regarding outstanding balances, payment plans, and account questions.
- Review patient A/R aging reports to identify past due patients.
- Answer inbound patient phone calls with professionalism and accuracy.
- Provide clear explanations of bills, insurance payments, adjustments, and financial responsibility.
- Assist patients with billing inquiries and escalate complex issues when necessary to Management.
3. Refunds & Account Adjustments
- Review accounts to identify overpayments from payers or patients.
- Process refunds accurately according to organizational policy and payer rules.
- Prepare documentation for refund approvals and maintain proper audit trails.
- Coordinate with finance or leadership for refund authorizations when needed.
4. Payment Posting
- Assist with posting insurance and patient payments including manual and ERA payments.
- Ensure payments, adjustments, and transfers are posted accurately and timely.
- Reconcile posted payments with daily deposit reports.
6. Denial & Rejection Support
- Assist with reviewing denials and rejections related to A/R follow-up.
- Coordinate with coders, posters, or supervisors when root-cause correction is needed.
- Resubmit corrected claims or route complex issues to the appropriate team.
7. Compliance & Documentation
- Follow HIPAA guidelines and organizational privacy policies at all times.
- Ensure accurate documentation for all account activity, patient interactions, and follow-up actions.
- Maintain compliance with payer requirements, state and federal laws, billing rules, and internal procedures.
Qualifications:
Education & Experience
- High school diploma or equivalent required.
- 1+ years of experience in medical billing, must have experience managing all aspects of the medical billing/revenue cycle process.
- Familiarity with EHR/EMR systems, billing software, and clearinghouses. Experience with AdvancedMD and Epic is preferred.
Skills & Competencies
- Strong understanding of insurance billing, reimbursement processes, and A/R workflows.
- Excellent communication skills with both patients, payers and clinics.
- Strong analytical and critical thinking abilities.
- High attention to detail, accuracy, and organizational ability.
- Ability to problem-solve, prioritize tasks, and work independently.
- Customer service mindset with professionalism and empathy.
- Ability to work effectively with others to identify and resolve issues.
- Demonstrate proactive thinking and effective problem-solving skills.
Job Type: Part-time
Pay: $21.00 - $22.00 per hour
Benefits:
- Paid time off
- Retirement plan
Experience:
- Medical Billing: 1 year (Required)
Location:
Work Location: Remote
