Join a USA Today Top 100 Workplace & Best in KLAS Team!
About RSi
For over 20 years, RSi has partnered with healthcare providers nationwide, earning recognition as a Best in KLAS revenue cycle management firm and a USA Today Top 100 Workplace. Our success is built on delivering exceptional financial results for providers and cultivating an unbeatable work 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
What You’ll Do
- Prepare, review, and submit professional claims (CMS-1500) to commercial, Medicare, Medicaid, and third-party payers.
- Ensure accurate use of CPT, HCPCS, ICD-10, modifiers, and payer-specific requirements.
- Verify patient demographics, insurance eligibility, diagnosis/procedure codes, and provider details.
- Correct and rebill denied claims caused by billing errors, coding discrepancies, or eligibility issues.
- Ensure claims are submitted within timely filing limits and escalate barriers as needed.
- Collaborate with front office, coding, and AR teams to ensure claim accuracy and payment reconciliation.
- Monitor claim status and follow up with payers on rejected claims.
- Maintain documentation in the workflow management system.
- Analyze denial trends, underpayments, and edits, and support appeals.
- Stay current on coding, billing requirements, payer policies, and healthcare regulations.
- Train new team members on payer- and system-specific workflows.
- Recommend process improvements based on denial patterns and payer behavior.
- Perform additional related duties as assigned.
What You Need
- Strong knowledge of CPT, ICD-10, and HCPCS Level II coding.
- CPB, CPC, or CMRS certification preferred (AAPC, AHIMA, or equivalent).
- 3+ years of professional billing experience with strong understanding of claim lifecycles and denial management.
- Proficiency with CMS-1500 requirements and billing codes.
- Experience with Medicare, Medicaid, and commercial payer billing rules.
- Skilled in billing software and EHRs (Epic, Meditech, Cerner, IDX, SSI, Optum, Athena, eClinicalWorks, etc.).
- Understanding of CMS and payer fee schedules, RVUs, and NCCI edits.
- Strong analytical, organizational, and communication skills.
- High school diploma required; associate degree preferred.
- Commitment to HIPAA and compliance requirements.
Benefits
- Competitive pay with ample opportunities for advancement.
- Fully remote with a steady Monday–Friday schedule.
- Collaborative, performance-driven culture with supportive leadership.
- Mission-driven work that directly supports essential healthcare services.
- National recognition as a trusted leader in healthcare revenue cycle management.
Physical Requirements
- Extended periods working at a computer.
- Ability to occasionally lift items up to 15 pounds.
What to Expect When You Apply
After submitting your application, you’ll be invited to complete an initial skills assessment. Completing this promptly demonstrates your commitment to excellence and positions you for an interview.
At RSi, we’re committed to building exceptional teams where every member has the opportunity to thrive and grow.
Ready to be part of something special? Apply now and join our team!
Happy Hunting,
~Two Chicks…