Work Where Excellence is Recognized
At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team. We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day.
Your Role: Essential, Rewarding, Impactful
As a Remote Hospital Biller, you'll play a key role in driving the financial health of the hospital by ensuring timely and accurate claim submissions. Your attention to detail and commitment to compliance help guarantee that both inpatient and outpatient services are billed correctly and efficiently. By working closely with departments like coding, HIM, and registration, you'll help create a seamless billing process that supports clean claims and maximizes revenue, ultimately contributing to better outcomes across the organization.
What You'll Do:
- Prepare, review, and submit hospital inpatient, ER, observation, ancillary, and outpatient services using appropriate forms (primarily UB-04).
- Verify claim data for accuracy, completeness, and compliance. Ensure correct use of revenue codes, bill types, modifiers, and payer-specific requirements.
- Validate patient insurance information and coverage prior to billing.
- Identify and resolve billing errors and claim rejections using billing systems and clearinghouses.
- Monitor claims status and follow up with payers on rejected claims.
- Collaborate with coding, charge entry, medical records (HIM), and registration teams to resolve discrepancies and support accurate billing.
- Adhere to Medicare, Medicaid, and commercial insurance billing rules and policies.
- Maintain detailed and accurate documentation within the appropriate workflow management system.
- Assist with identifying trends in billing and claim edits, denials, underpayments and support appeal processes.
- Keep current with changes in billing requirements, payer policies, and healthcare regulations.
- Utilize internal resources including crosswalks, tip sheets, and team chats.
- Escalate unresolved issues appropriately to ensure timely resolution.
- Adhere to Productivity and Quality Standards
- Support the onboarding of new team members with payer and system specific training.
- Support your teammates in achieving collective goals, ensuring our clients' continued success.
- Recommend process improvements based on edits received, denial trends, and payer behavior.
- Perform other related duties as assigned
What We're Looking For:
- Proficient with CPT, ICD-10, and HCPCS Level II, coding and modifier use
- Certified Professional Biller (CPB) or Certified Professional Coder (CPC), Certified Medical Reimbursement Specialist (CMRS), through a nationally accredited program (i.e. American Academy of Professional Coders, AHIMA) preferred.
- Minimum 3+ years of hospital billing experience, preferably in an acute care setting. Strong understanding of insurance payers, claim life cycles, and denial management.
- Strong knowledge of UB-04 form requirements and facility billing codes.
- Experience with Medicare, Medicaid, and commercial payer billing requirements.
- Proficiency in billing software and electronic health record (EHR) systems (e.g., Epic, Meditech, Cerner, IDX, SSI, Optum).
- Understanding of CMS guidelines, medical necessity rules, and revenue integrity practices.
- Working knowledge of insurance carrier requirements, billing cycles, and denial management.
- Strong organizational and communication skills, with the ability to independently manage multiple tasks.
- High school diploma or equivalent required; associate degree preferred.
- Understanding of and adherence to HIPAA and compliance requirements.
Why You'll Love RSi:
- Competitive pay with ample opportunities for professional growth.
- Fully remote position with a stable Monday–Friday schedule.
- Collaborative, performance-driven environment with expert leadership.
- Mission-driven work supporting essential healthcare services.
- Recognition as a nationally respected leader in healthcare revenue management.
Physical Requirements:
- Comfortable working at a computer for extended periods.
- Ability to occasionally lift items weighing up to 15 pounds.
What to Expect When You Apply:
Our hiring process is designed to find exceptional candidates. Once your application is received, you'll receive an invitation to complete an initial skills assessment. This step is essential: completing this assessment promptly positions you for an interview and demonstrates your commitment to excellence.
We believe in creating exceptional teams, and this process ensures that every member at RSi has the opportunity to thrive and grow.
Ready to be part of something special? Apply now and join our team!
