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 RoleWe’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 DaysWhat You’ll DoSupport claim submission to ensure timely, accurate billingMonitor claim status and follow up on unpaid or denied claimsAssist with provider credentialing and payer enrollment, keeping documentation and records currentManage accounts receivable, including aging follow-up, collections, and resolution of outstanding balancesSupport denial management by identifying issues, documenting trends, and escalating complex casesPost payments, adjustments, and remittance information accuratelyReconcile billing discrepancies and resolve account issuesVerify patient eligibility, insurance information, and benefits as part of the insurance workflowMaintain documentation of billing activity, follow-up efforts, and account statusCommunicate with payers, vendors, and internal teams on claim issues and payment delaysHelp track key RCM metrics such as clean claim rate, denials, days in A/R, and collectionsSupport process improvement efforts to increase efficiency and reduce billing errorsEnsure all work complies with company policies and applicable healthcare regulationsWhat We’re Looking ForRequired1–2 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 preferredWorking knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial managementFamiliarity with provider credentialing and payer enrollment conceptsUnderstanding of accounts receivable and A/R follow-upFamiliarity with CPT, ICD-10, and HCPCS coding concepts preferredExperience with EHR, PM, billing, or payer portal systems is a plusStrong attention to detail and organizational skillsGood written and verbal communication skillsAbility to manage multiple priorities and meet deadlines in a remote environmentProficiency in Microsoft Excel, Google Sheets, and standard office toolsPreferredEagerness to learn and grow within healthcare operationsProblem-solving mindset with a willingness to investigate issuesAbility to work independently while collaborating with a remote teamStrong sense of accountability and follow-throughComfort in a dynamic, fast-growing organizationWork Location RequirementThis 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 EnvironmentThis 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 GBHeadphones: 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 HealthOpportunity to grow with an innovative national virtual care organizationExposure to a wide range of revenue cycle operations and healthcare workflowsCollaborative, mission-driven remote work environmentCompetitive compensation and benefits package, based on experience
4 days ago