Medical Billing Specialist (EZClaim/BestNotes, Behavioral)

This is a remote position.

Job Summary

RCM Staff BPO is hiring a full-time Medical Billing Specialist to support a behavioral health and substance use disorder treatment program based in US. The specialist will handle the full billing cycle, from reviewing claims in the EHR through claim submission, payment posting, and A/R follow-up. This role requires end-to-end billing ownership and experience with Medicaid, such as strong attention to detail, consistent follow-up, and experience working with U.S. health insurance plans. Key ResponsibilitiesReview and work the claims queue in the EHR and prepare clean claims for submission

Enter charges and submit claims through the billing system and clearinghouse

Monitor clearinghouse rejections and correct and resubmit claims promptly

Post insurance payments and adjustments from ERAs and EOBs

Follow up on unpaid and underpaid claims through payer portals and phone calls

Work denials, identify root causes, and submit corrections and appeals

Track Medicaid and managed care authorization and billing requirements

Support the transition of billing from a prior billing company, including reviewing open A/R

Report billing status, A/R trends, and issues to the practice

Protect patient information and follow HIPAA requirements

QualificationsAt least 2 years of experience with U.S. healthcare insurance

Hands-on experience with end-to-end medical billing, including claim submission, payment posting, A/R, and denials

Familiarity with commercial insurance and government health plans

Experience using payer portals and insurance websites

Strong written and spoken English

Excellent attention to detail and follow-up skills

Ability to work independently and manage multiple patient accounts

Reliable internet connection and a suitable remote workspace

Preferred QualificationsExperience billing for behavioral health or substance use disorder treatment programs

Experience using EZClaim, ClaimMD, or BestNotes

Familiarity with Utah Medicaid and Select Health

Experience with Medicaid managed care billing, authorizations, and level-of-care billing

ScheduleFull-time position

Must be available during Mountain Time business hours

Final schedule will be determined based on practice needs

Work ArrangementRemote

Philippines-based applicants preferred

Originally posted on Himalayas