Home Health Billing Specialist

RCM Billing Specialist

True North
Full-Time | Salaried | Non-Exempt
Department: Revenue Cycle Management

Solve Complex Challenges. Strengthen Healthcare Operations. Grow Your Career.

Are you naturally curious, highly organized, and energized by solving problems? Do you enjoy investigating details, identifying why something did not process correctly, and finding the solution that moves it forward?

True North is seeking an energetic and detail-oriented RCM Billing Specialist to join our growing Revenue Cycle Management team. In this role, you will help ensure claims are prepared and submitted accurately, resolve complex billing issues, and support stronger financial outcomes for our healthcare clients.

This is more than a claims-processing position. You will use analytical thinking, technology, communication, and sound judgment to investigate exceptions, manage resolution projects, and help improve the overall billing process. Your work will have a direct impact on client satisfaction, reimbursement, and the success of our RCM team.

If you are curious, solutions-focused, and ready to grow with a company where your contributions matter, this may be the opportunity for you.

Why Join True North?

At True North, we believe talented people do their best work in a culture where they feel supported, challenged, and valued. We are committed to creating an environment where employees can ask questions, contribute ideas, strengthen their skills, and build meaningful careers.

What you will find at True North:

• A positive, collaborative culture where team members support one another
• Opportunities to learn new systems and expand your healthcare billing knowledge
• Meaningful work that directly affects client and financial outcomes
• Leadership that values accountability, initiative, and continuous improvement
• A fast-paced environment that offers variety and new challenges
• Opportunities to grow your responsibilities as the organization expands

What You’ll Do

Manage Billing and Claims

• Complete accurate billing for assigned payer types
• Generate, review, scrub, and submit claims within established timelines
• Maintain thorough documentation of billing activities and claim status
• Verify that claims meet applicable billing and payer requirements

Investigate and Resolve Complex Issues

• Analyze billing exceptions, discrepancies, and rejected or denied claims
• Research rate differences, authorization denials, and provider-classification issues
• Manage complex resolution projects involving voided, revised, or resubmitted claims
• Use sound judgment and critical thinking to determine the appropriate next steps

Communicate and Collaborate

• Respond professionally and promptly to inquiries from clients, coworkers, payers, and other representatives
• Provide regular project and claim-status updates to the RCM Department Manager
• Participate in client-status communications when requested
• Work collaboratively with the broader RCM team to keep issues moving toward resolution

Identify and Escalate Risk

• Recognize critical issues that may affect reimbursement or client performance
• Escalate at-risk accounts, payer concerns, database errors, and communication barriers
• Clearly document concerns and provide the information needed for effective decision-making
• Help protect timely filing deadlines and reduce preventable revenue loss

Support Operational Excellence

• Manage multiple priorities and deadlines in a fast-paced environment
• Look for patterns, recurring issues, and opportunities to improve billing workflows
• Contribute ideas that strengthen accuracy, efficiency, and client service
• Take ownership of assigned projects while knowing when to seek guidance or escalate concerns

What Makes This Role Exciting?

This role is ideal for someone who enjoys asking questions, researching answers, and working through complex situations. Every claim tells a story, and you will play an important role in determining what happened, what needs corrected, and how to reach the best possible resolution.

You will gain experience across different payer requirements, billing systems, claim scenarios, and client needs. As True North continues to grow, strong performers may have opportunities to expand their expertise, take on more complex projects, and pursue advancement within Revenue Cycle Management, client success, analytics, or team leadership.

Who Will Thrive in This Role?

The ideal candidate is:

• Naturally curious and motivated to understand how and why things work
• Analytical and persistent when researching difficult billing issues
• Accurate, organized, and attentive to small details
• Comfortable managing several priorities and deadlines
• Proactive about communicating progress, concerns, and roadblocks
• Professional and service-oriented when interacting with clients and coworkers
• Able to work independently while contributing to a collaborative team
• Open to feedback, continuous learning, and professional growth
• Accountable for following through and producing dependable results

Qualifications

Preferred Experience

• Two or more years of claims processing, healthcare billing, or related RCM experience
• Experience with Waystar, Inovalon, Great Plains, or comparable platforms is a plus
• Experience resolving claim denials, billing exceptions, or payment discrepancies is beneficial

Technical Skills

• Proficiency with Microsoft Office, particularly Excel
• Comfortable learning and working in billing, claims, and financial systems
• Experience using Zoom, Google Meet, and other virtual collaboration tools
• Ability to maintain accurate electronic documentation and records

Core Competencies

• Strong analytical and problem-solving abilities
• Exceptional attention to detail and accuracy
• Excellent written and verbal communication skills
• Strong time-management and organizational abilities
• Customer-service mindset and professional negotiation skills
• Ability to meet deadlines and manage multiple assignments
• Ability to work effectively both independently and as part of a team