Job Overview

We are seeking a detail-oriented Revenue Cycle Management Specialist (Elation) to manage revenue cycle processes across multiple healthcare practices. In this role, you will oversee insurance eligibility verification, prior authorizations, pre-submission coding reviews, denial resolutions, and A/R aging follow-ups. Working primarily within Elation and Slack, you will collaborate with healthcare providers to resolve billing discrepancies and appeal denied claims within payer deadlines. This full-time remote position requires prior U.S. healthcare RCM experience and operates during US Mountain Standard Time (MST) business hours.

Schedule

• Mon - Fri, final schedule to be determined, MST (40 hrs per week)

Responsibilities

1. Eligibility and Benefits

• Verify eligibility and benefits for every scheduled visit, including new patients handed off from intake.
• Confirm active coverage, plan type, PCP assignment for Medicare Advantage and AHCCCS plans, copay, deductible, and coinsurance.
• Update insurance in Elation and flag inactive or mismatched coverage in Slack before the visit.

2. Prior Authorizations

• Identify orders that need authorization: referrals, imaging, DME, home health, and medications.
• Submit, track, and document each authorization in Elation until approved or denied.
• Alert the provider in Slack on any denial or peer-to-peer request.

3. Pre-Submission Coding Review

• Scrub signed provider notes in Elation before claims are submitted.
• Check that CPT/E/M level, ICD-10-CM codes, modifiers, place of service, and rendering NPI match the documentation.
• Catch missing elements: unsigned notes, missing time for time-based codes (including CCM), and unsupported diagnoses.
• Send fixes to the provider in Slack and hold the claim until the note is corrected.

4. Denial Management

• Work every denial and underpayment from the ERA/EOB to root cause.
• Submit corrected claims, reopenings, reconsiderations, and appeals within payer deadlines.
• Fix eligibility, authorization, and coding denials at the source so they do not repeat.
• Report denial trends weekly, by practice, payer, and reason.

5. A/R Aging

• Work aging by dollar value and age; call payers on claims past expected payment and document every call.
• Report A/R by bucket (0-30, 31-60, 61-90, 90+) per practice each week.
• Send charge errors found in denials to the billing partner through Slack.

Must-Have Requirements

• 3+ years of U.S. healthcare RCM focused on eligibility, prior authorization, coding review, denials, and A/R follow-up
• Elation and Slack experience (required)
• Working knowledge of CPT, ICD-10-CM, and modifiers for primary care E/M, including CCM time rules
• Experience with Medicare Part B, Medicare Advantage, AHCCCS (Arizona Medicaid) plans, and commercial payers
• Experience with payer portals (Availity, Medicare MAC portal, plan portals) and reading ERAs/EOBs with CARC/RARC codes

Nice-to-Have Requirements

• CPC, CRCR, or CPB certification
• Primary care experience, including chronic care management (CCM) and home visits
• athenaOne, Practice Fusion, or Practice Suite experience

Independent Contractor Perks

Permanent work from home

Immediate hiring

Health Insurance Coverage for eligible locations

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

One application, multiple possibilities: When you apply, our team reviews your background against all current openings, not just this one! If a different role fits your skills, we'll get in touch! We also encourage you to keep exploring our job board and apply directly to any position that excites you.