RCM Specialist

This is a remote position.

Company Overview:

Insight Therapy Solutions is a growing behavioral health organization dedicated to helping people access the care they need. Since 2012, we've combined compassionate service, strong clinical support, and operational excellence to create a positive experience for both clients and team members.

Why Join Us:

• 100% remote – work from home
  

• Join a growing behavioral health organization
  

• Collaborative and supportive team environment
  

• Opportunity to expand your Revenue Cycle Management expertise
  

• Make a direct impact on patient access to care
  

Perks & Benefits:

• Paid Time Off (PTO, 10 days annually)
  

• Paid U.S. holidays
  

• Paid birthday leave
  

• Parental leave
  

• Monthly health stipend
  

Position Overview:

The RCM Specialist supports revenue cycle operations with a primary focus on prior authorizations, insurance verification, benefits validation, and authorization renewals. This role also assists with other revenue cycle functions as needed, including claim follow-up and denial resolution.

We're looking for a detail-oriented professional who can effectively work with insurance companies, providers, and internal teams to help ensure patients receive timely access to services while supporting efficient reimbursement processes.

Key Responsibilities:

• Submit, track, and manage prior authorization requests.
  

• Verify patient eligibility, benefits, and authorization requirements.
  

• Monitor authorization status and obtain approvals before scheduled services.
  

• Initiate authorization renewals and resolve authorization-related issues.
  

• Communicate with insurance companies regarding authorizations, benefits, and claim inquiries.
  

• Coordinate with providers and internal teams regarding payer requirements and authorization updates.
  

• Assist with claim follow-up, denial resolution, appeals, and other revenue cycle activities as needed.
  

• Maintain accurate documentation and ensure compliance with payer guidelines, HIPAA regulations, and company policies.
  

What We're Looking For:

Required:

• 2+ years of experience in Prior Authorizations, Insurance Verification, Medical Billing, Revenue Cycle Management, or a related healthcare role.
  

• Experience working with U.S. healthcare insurance plans and payer portals.
  

• Strong understanding of insurance eligibility, benefits verification, and authorization processes.
  

• Excellent English communication skills.
  

• Strong attention to detail, organization, and time management skills.
  

• Ability to work independently in a remote environment.
  

Preferred:

• Experience supporting behavioral health, mental health, or outpatient healthcare organizations.
  

• Experience with accounts receivable follow-up, denial management, and claim resolution.
  

• Experience using SimplePractice or similar EHR systems.
  

• Familiarity with Availity, Waystar, or similar payer portals.
  

Key Competencies:

• Attention to detail
  

• Problem-solving
  

• Organization and follow-through
  

• Communication and collaboration
  

• Accountability and adaptability
  

Work Environment:

Join a collaborative remote team where your work directly impacts patient access to care. You'll work closely with providers, billing professionals, and healthcare operations staff to support efficient revenue cycle processes.