If you know how to chase claims, read an ERA like it’s a crime scene, and keep payers honest without losing your cool, this role is for you. You’ll be the difference between “still pending” and paid.
About RSi
RSi is a healthcare revenue cycle management company that’s supported healthcare providers for over 20 years. They’ve earned recognition as a “Best in KLAS” firm and a USA Today Top 100 Workplace, with a culture that values strong performance, growth, and real impact.
Schedule
- Fully remote
- Monday–Friday, 8am–5pm EST
- Pay range: $58,000–$60,000+ annually
What You’ll Do
- Follow up on outstanding hospital insurance claims to drive timely, accurate reimbursement
- Contact payers by phone, email, and portals to check status, resolve denials, and secure payment
- Review and interpret EOBs/ERAs and determine the right next steps
- Appeal denied or underpaid claims based on payer policies and hospital guidelines
- Resubmit corrected claims and submit documentation for reconsiderations as needed
- Prepare and submit formal appeals with supporting documents and within payer deadlines
- Resolve claim rejections and coordinate with payers to correct issues
- Contact patients to verify or obtain insurance information when necessary
- Identify underpayments based on contract expectations and dispute them with payers
- Document every action clearly in workflow management systems
- Use internal tools like crosswalks, tip sheets, and team channels to move work faster
- Escalate unresolved issues appropriately to prevent claims from stalling
- Monitor aging buckets and support KPIs tied to A/R days and follow-up turnaround time
- Collaborate with coding, registration, billing, and compliance to reduce denials at the source
- Support onboarding and training for new team members on payer and system workflows
- Recommend process improvements based on denial trends and payer behavior
- Handle other related duties as assigned
What You Need
- 3+ years of hospital billing or revenue cycle experience, with insurance follow-up or denial management
- Strong knowledge of UB-04 claim forms, revenue codes, modifiers, and payer-specific rules
- Experience with claims appeals, denial management, and follow-up workflows
- Strong communication skills (written and verbal) and confident payer conversations
- Analytical mindset with solid problem-solving skills in a fast-paced environment
- Experience with major systems (Epic, Cerner, Meditech, SSI, IDX/Centricity, Athena, Keane, or similar)
- High school diploma or equivalent (associate degree preferred)
- Comfort working within HIPAA and compliance requirements
- Preferred: CRCR (HFMA), CMRS, CPB, or other recognized revenue cycle/billing credential
Benefits
- Competitive pay with growth opportunities
- Fully remote with a stable weekday schedule
- Collaborative, performance-driven team environment
- Mission-driven work supporting essential healthcare services
- Join a nationally recognized healthcare revenue management organization
If your strength is “I don’t let claims die in a bucket,” this is your lane. If you hate payer follow-up and appeals, don’t force it.
This one’s worth a fast application.
Happy Hunting,
~Two Chicks…