Remote RCM Specialist I: Insurance Verification & Claims

AMN Healthcare; Lincoln (NE); Remote; USD 42,000 - 62,000; Full time

Job summary

AMN Healthcare seeks an RCM Specialist I to support front-end and mid-cycle revenue cycle tasks with emphasis on insurance verification, claim submission, and customer service. This remote role requires attention to detail, knowledge of dental/medical billing, and commitment to excellent patient experiences.

Responsibilities include verifying coverage, entering data, submitting claims, handling inquiries, and maintaining HIPAA compliance while supporting KPI tracking and process improvements.

Qualifications

• Experience in Dental Office workflows and revenue cycle functions including scheduling, registration and insurance verification.
• Knowledge of reimbursement and compliance processes with all payors.
• Experience with practice management software, insurance portals and clearing houses.
• Strong Excel skills and accurate data entry (10-key).
• Excellent interpersonal and organizational skills with strong communication.

Responsibilities

• Verify insurance coverage and benefits for scheduled patients using payer portals or phone calls.
• Enter and update insurance information in the practice management system with accuracy.
• Confirm eligibility and coordination of benefits to ensure clean claims.
• Submit pre-determinations and pre-authorizations with required attachments and track status.
• Prepare and submit claims (electronic, paper, or portal) per payer requirements and timelines.
• Review and resubmit rejected claims with corrections as needed.
• Respond to patient and office inquiries about billing, coverage, and balances.
• Document verification results, authorizations, claims and patient interactions clearly.
• Escalate issues to RCM team when delays or system errors occur.
• Maintain HIPAA compliance and adherence to SOPs; participate in team trainings.

Skills

Dental office workflows

Revenue Cycle basics

MS Office Excel

Data entry (10-key)

Tools

Practice management software

Insurance portals

Clearing houses

Banking reconciliation software

Job description

AMN Healthcare seeks an RCM Specialist I to support front-end and mid-cycle revenue cycle tasks with emphasis on insurance verification, claim submission, and customer service. This remote role requires attention to detail, knowledge of dental/medical billing, and commitment to excellent patient experiences.

Responsibilities include verifying coverage, entering data, submitting claims, handling inquiries, and maintaining HIPAA compliance while supporting KPI tracking and process improvements.