RCM Specialist

Summary

Continuant is seeking an RCM Specialist to support revenue cycle operations for behavioral health, outpatient, and surgical practices. The role manages medical billing, claims submission, payment posting, denial resolution, patient collections, reporting, compliance, and billing workflow improvements using platforms such as SimplePractice and Tebra.

Responsibilities

• Manage full-cycle medical billing: insurance verification, charge entry, claims submission, payment posting, denial management, and patient collections
• Utilize platforms such as Simple Practice and Tebra for billing, scheduling, and reporting tasks
• Experience or familiarity with other major EHR/practice management systems including TherapyNotes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
• Ensure timely and accurate claims submission to commercial payers, Medicaid, and Medicare
• Follow up on outstanding claims, resolve rejections/denials, and ensure proper reimbursement
• Conduct eligibility checks and pre-authorizations when needed
• Work closely with providers and administrative staff to ensure accurate coding and billing
• Generate and analyze aging reports and accounts receivable summaries
• Maintain compliance with HIPAA, payer regulations, and internal policies
• Assist in process improvement and optimization of billing workflows

Skills

• 3+ years of experience in healthcare claims billing, specifically for Behavioral Health, Outpatient, and/or Surgical practices (required)
• Strong command of Simple Practice and Tebra systems (required)
• Solid understanding of CPT/ICD-10 coding, modifiers, and billing guidelines for behavioral health and outpatient services
• Familiarity with commercial insurance, Medicaid, and Medicare billing requirements
• Proven experience in claim follow-up, denial resolution, and AR management
• Strong analytical, organizational, and communication skills
• High level of accuracy and attention to detail
• Ability to work independently and manage multiple priorities
• Education: College or equivalent required; an associate's degree in healthcare administration, Certification in Coding or a related field is preferred
• Experience with other platforms such as TherapyNotes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
• Experience working in remote environments is a plus
• An associate's degree in healthcare administration, Certification in Coding or a related field is preferred
• Familiarity with medical billing software and U.S. payer processes is an advantage
• Attributes: Proactive, team-oriented, and capable of handling sensitive information professionally

Qualifications

Must Haves

• 3+ years of experience in healthcare claims billing, specifically for Behavioral Health, Outpatient, and/or Surgical practices (required)
• Strong command of Simple Practice and Tebra systems (required)
• Solid understanding of CPT/ICD-10 coding, modifiers, and billing guidelines for behavioral health and outpatient services
• Familiarity with commercial insurance, Medicaid, and Medicare billing requirements
• Proven experience in claim follow-up, denial resolution, and AR management
• Strong analytical, organizational, and communication skills
• High level of accuracy and attention to detail
• Ability to work independently and manage multiple priorities
• Education: College or equivalent required; an associate's degree in healthcare administration, Certification in Coding or a related field is preferred

Nice to Haves

• Experience with other platforms such as TherapyNotes, Practice Fusion, Modernizing Medicine, and/or Athena is a plus
• Experience working in remote environments is a plus
• an associate's degree in healthcare administration, Certification in Coding or a related field is preferred
• Familiarity with medical billing software and U.S. payer processes is an advantage
• Attributes: Proactive, team-oriented, and capable of handling sensitive information professionally

Benefits

• Medical ($0 Premium!), Dental, and Vision Benefits
• Fitness Fund Reimbursement Program for gym memberships and massages
• Matching 401(K) program with 100% match
• Generous Paid Time Off program; 8 Paid Holidays
• HQ On-site amenities include Gym, Massage, Pickle Ball court, Chiropractor and Naturopath at Fife, WA HQ
• Fully remote work arrangement