RCM SPECIALIST

States Billing; Austin (TX); Hybrid; USD 55,000 - 75,000; Full time

Job summary

States Billing is seeking a dedicated RCM Specialist to join our Austin, TX team in a full-time hybrid role. You will manage end-to-end revenue cycle activities, including eligibility verification, charge capture, claims submission, and payment posting, while reducing denials and accelerating reimbursements.

The ideal candidate has strong knowledge of CPT/HCPCS/ICD coding basics, payer rules, and experience with billing software, practice management systems, and revenue analytics.

Qualifications

• Experience with core RCM functions: eligibility verification, charge capture, submission, denial management, and A/R recovery.
• Knowledge of CPT/HCPCS/ICD coding basics and payer rules.
• Proficiency with billing software, practice management systems, and revenue analytics.
• Strong attention to detail and ability to interpret EOBs and payer communications.
• Effective written and verbal communication for providers, payers, and staff.
• Ability to work independently in a fast-paced hybrid environment.
• Understanding of HIPAA and payer guidelines in healthcare billing.
• Experience with multi-specialty or multi-location practices is a plus.
• High school diploma or equivalent; advanced degree preferred.

Responsibilities

• Manage end-to-end revenue cycle activities including eligibility verification, charge capture, claim creation and submission, and payment posting.
• Monitor denials, perform A/R follow-up, and collaborate with payers to improve reimbursement timelines.
• Ensure documentation accuracy and support coding/billing compliance.
• Review reports, identify trends in denials, and recommend process improvements to strengthen revenue integrity.
• Maintain provider credentialing data as needed.

Skills

RCM functions knowledge

Medical billing proficiency

Attention to detail

Communication skills

Independent work capability

Regulatory compliance knowledge (HIPAA

Prior RCM experience

Education

High school diploma or equivalent

Associate or Bachelor’s degree in healthcare, business, or related field

Tools

Billing software

Practice management systems

Revenue analytics tools

Job description

Company Description

States Billing provides advanced Medical Billing and Revenue Cycle Management (RCM) solutions that help healthcare providers across the United States optimize revenue, improve cash flow, and streamline financial operations. By combining deep industry expertise, strong regulatory compliance, and innovative technology, the company simplifies complex billing processes so providers can focus on patient care. States Billing partners with a wide range of healthcare organizations, including hospitals, physician practices, urgent care centers, specialty clinics, SNFs, LTC providers, ambulatory surgery centers, and multi-location groups. Its end-to-end RCM services span eligibility verification, coding, claims submission, denial management, A/R recovery, credentialing, compliance, and revenue analytics. As a trusted revenue cycle partner, States Billing delivers accurate, technology-driven, results-focused solutions that support faster reimbursements and sustainable financial growth.

Role Description

The RCM Specialist role is a full-time hybrid position based in Austin, TX, with the flexibility to work from home part of the time. The RCM Specialist will manage end-to-end revenue cycle activities, including patient eligibility verification, charge capture review, claims creation and submission, and payment posting. This role will monitor and resolve claim denials, perform A/R follow-up, and collaborate with payers and internal teams to reduce outstanding balances and improve reimbursement timelines. The RCM Specialist will ensure documentation accuracy, support coding and billing compliance with payer and regulatory requirements, and assist in maintaining provider credentialing data as needed. Day-to-day tasks also include reviewing reports, identifying trends in denials and underpayments, and recommending process improvements to strengthen revenue integrity.

Qualifications

• Experience with core RCM functions such as eligibility verification, charge capture, claims submission, payment posting, denial management, and A/R recovery.
• Knowledge of medical billing practices, including CPT/HCPCS/ICD coding basics, payer rules, and reimbursement methodologies.
• Proficiency with billing software, practice management systems, and revenue analytics or reporting tools.
• Strong attention to detail, analytical skills, and the ability to interpret EOBs, remittance advice, and payer communications.
• Effective written and verbal communication skills for interacting with providers, payers, and internal stakeholders.
• Ability to work independently, prioritize multiple tasks, and meet deadlines in a fast-paced, hybrid work environment.
• Understanding of regulatory and compliance requirements (e.g., HIPAA, payer guidelines) in healthcare billing.
• Previous experience in medical billing or RCM; experience with multi-specialty or multi-location practices is a plus.
• High school diploma or equivalent required; associate or bachelor’s degree in healthcare, business, or a related field is