Ensure clean claims and maximize revenue for physician services.
About RSi
RSi is a USA Today Top 100 Workplace and “Best in KLAS” revenue cycle management firm. For over 20 years, we’ve helped healthcare providers achieve outstanding financial results while building a collaborative, performance-driven culture.
Schedule
- Full-time, fully remote
- Monday–Friday, 8am–5pm EST
- Pay: $58,000–$60,000+ annually
Responsibilities
- Prepare, review, and submit HCFA 1500 claims to Medicare, Medicaid, commercial, and third-party payers
- Ensure correct use of CPT, HCPCS, ICD-10, modifiers, and payer-specific requirements
- Verify claim accuracy for demographics, insurance eligibility, coding, and provider information
- Correct and rebill denied claims due to billing or coding discrepancies
- Monitor claim status and follow up on rejections or delays
- Work with coding, HIM, and registration teams to resolve discrepancies
- Adhere to payer rules, Medicare/Medicaid policies, and timely filing limits
- Document actions and maintain accurate records in workflow management systems
- Identify and address trends in edits, denials, and underpayments; support appeals
- Stay updated on payer policies, billing regulations, and coding changes
- Support onboarding and training for new team members
- Recommend process improvements based on denial and edit trends
Requirements
- 3+ years professional billing experience with strong payer and denial management knowledge
- Proficiency in CPT, ICD-10, HCPCS Level II, and modifier use
- Strong knowledge of CMS-1500 requirements and billing rules
- Experience with Medicare, Medicaid, and commercial payer guidelines
- Preferred certifications: CPB, CPC, CMRS (AAPC, AHIMA, AMBA)
- Proficient with EHR and billing systems (Epic, Meditech, Cerner, IDX, SSI, Optum, Athena, eClinicalWorks)
- Knowledge of CMS and payer fee schedules, RVUs, NCCI edits, and medical necessity rules
- Strong organizational, analytical, and communication skills
- High school diploma or equivalent required; Associate’s degree preferred
- HIPAA compliance knowledge
Benefits
- Competitive salary with growth opportunities
- Fully remote weekday schedule
- Supportive, expert-led team environment
- Mission-driven work supporting essential healthcare services
Application Process
Applicants will be invited to complete a skills assessment. Prompt completion is required to proceed to interviews.
Turn your billing expertise into measurable results from anywhere.
Happy Hunting,
~Two Chicks…