Join a USA Today Top 100 Workplace & Best in KLAS Team!
About RSi
For over 20 years, RSi has proudly supported healthcare providers, earning recognition as a Best in KLAS revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for providers and fostering an unbeatable culture for our team. At RSi, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day.
Schedule
- Pay Range: $58,000–$60,000 annually
- Monday–Friday, 8:00 AM–5:00 PM EST
- Fully Remote
Responsibilities
- Perform follow-up on outstanding insurance and patient balances via payer portals, phone calls, and correspondence.
- Analyze denials to identify trends, root causes, and recommend process improvements.
- Monitor assigned worklists or aging reports to ensure timely resolution.
- Investigate unpaid or denied claims to secure reimbursement.
- Review EOBs/ERAs to determine actions for denied or underpaid claims.
- Submit reconsiderations, corrected claims, and appeals in compliance with payer guidelines.
- Resolve claim issues such as medical necessity, authorization, bundling, or eligibility rejections.
- Contact patients to verify or update insurance information as needed.
- Identify underpaid claims and dispute with payers when appropriate.
- Accurately document all actions in workflow systems.
- Collaborate with coding, patient access, billing, and compliance teams to prevent recurring denials.
- Support onboarding and training of new team members on payer-specific requirements.
- Escalate unresolved issues appropriately and adhere to departmental productivity and quality standards.
Requirements
- Minimum 3+ years of medical billing or insurance follow-up experience (healthcare or hospital setting preferred).
- Strong understanding of claim lifecycles, denial management, and payer processes.
- Proficiency with CMS-1500 forms, CPT, HCPCS, ICD-10, and payer-specific rules.
- Rural Health Clinic billing experience preferred.
- Experience with systems such as Epic, Cerner, Meditech, SSI, IDX/Centricity, Athena, Keane, or similar.
- High school diploma or equivalent required; associate degree preferred.
- Preferred certifications: CRCR (HFMA), CPB (AAPC), CMRS (AMBA).
- Excellent written and verbal communication skills.
- Strong analytical and problem-solving abilities.
- Understanding of HIPAA and compliance regulations.
Benefits
- Competitive pay with ample opportunities for career growth.
- Fully remote position with a stable Monday–Friday schedule.
- Collaborative, performance-driven environment with expert leadership.
- Mission-driven work supporting essential healthcare providers.
- Recognition as a nationally respected leader in revenue cycle management.
Physical Requirements
- Comfortable working at a computer for extended periods.
- Ability to occasionally lift up to 15 pounds.
What to Expect When You Apply
After submitting your application, you’ll receive an invitation to complete a skills assessment. Completing this step promptly positions you for an interview and demonstrates your commitment to excellence.
We believe in building exceptional teams where every member can thrive and grow.
Ready to be part of something special? Apply now and join our team!
Happy Hunting,
~Two Chicks…