Junior Revenue Cycle Management (RCM) Specialist - REMOTE

Job Title: Junior Revenue Cycle Management (RCM) Specialist Location: Remote - United States Employment Type: FT W2 Compensation: $35 per hour CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations. About the Role We’re looking for a Junior RCM Specialist to support the full revenue cycle — from billing and credentialing through claims processing, payment posting, and accounts receivable follow-up. This is an ideal role for someone early in their medical billing or healthcare administration career who has a solid grasp of the insurance workflow and wants to grow in a fast-paced virtual care environment. The ideal candidate understands how claims move through the insurance lifecycle, has exposure to provider credentialing, and is comfortable managing accounts receivable. You’re organized, analytical, proactive, and at ease working across billing systems, payer portals, and cross-functional teams. Schedule: Monday - Friday Days What You’ll Do • Support claim submission to ensure timely, accurate billing • Monitor claim status and follow up on unpaid or denied claims • Assist with provider credentialing and payer enrollment, keeping documentation and records current • Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances • Support denial management by identifying issues, documenting trends, and escalating complex cases • Post payments, adjustments, and remittance information accurately • Reconcile billing discrepancies and resolve account issues • Verify patient eligibility, insurance information, and benefits as part of the insurance workflow • Maintain documentation of billing activity, follow-up efforts, and account status • Communicate with payers, vendors, and internal teams on claim issues and payment delays • Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections • Support process improvement efforts to increase efficiency and reduce billing errors • Ensure all work complies with company policies and applicable healthcare regulations What We’re Looking For Required • 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred) • High school diploma required; associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred • Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management • Familiarity with provider credentialing and payer enrollment concepts • Understanding of accounts receivable and A/R follow-up • Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred • Experience with EHR, PM, billing, or payer portal systems is a plus • Strong attention to detail and organizational skills • Good written and verbal communication skills • Ability to manage multiple priorities and meet deadlines in a remote environment • Proficiency in Microsoft Excel, Google Sheets, and standard office tools Preferred • Eagerness to learn and grow within healthcare operations • Problem-solving mindset with a willingness to investigate issues • Ability to work independently while collaborating with a remote team • Strong sense of accountability and follow-through • Comfort in a dynamic, fast-growing organization Work Location Requirement This is a remote U.S.-based position. Employees must perform all work physically within the United States. International work is not permitted during scheduled work hours. Work Environment This is a remote position and may be “on camera” at any time. The Junior Revenue Cycle Management Specialist will work from a home office, requiring reliable internet connectivity and a secure, private workspace. Technical Requirements: Computer: Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least Windows 10 or macOS 14 Sonoma. Hardware: Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs) RAM: 16 GB Headphones: Wired headphones required for optimal audio quality. (NO built-in mics) Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router. Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type). Webcam: A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam. Recommended Equipment: A second monitor is highly suggested for laptop users; dual monitors for PC users. Why CareTalk Health Opportunity to grow with an innovative national virtual care organization Exposure to a wide range of revenue cycle operations and healthcare workflows Collaborative, mission-driven remote work environment Competitive compensation and benefits package, based on experience CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: https://caretalkhealth.com/california-privacy-notice