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TYPE OF WORK
Full Time
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SALARY
$8-12/hour USD (based on experience and
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HOURS PER WEEK
40
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DATE UPDATED
Feb 1, 2026
About the Role: We are a solo, high-volume Pain Management practice based in Kansas (US Central Time). We are looking for one highly experienced RCM Specialist to take full ownership of our billing and revenue cycle.
This is NOT an entry-level position. We are looking for a "Rockstar" who can work independently, manage the entire cycle from credentialing to denial management, and requires minimal supervision. We are willing to pay above-market rates for a candidate who truly understands the nuances of Interventional Pain Management billing.
Work Schedule:
Full-Time: 40 hours per week
Shift: Monday – Friday, 8:00 AM – 5:00 PM CST (Kansas City Time)
Strict Requirement: You must work these hours to communicate with payers and our office in real-time.
Primary Responsibilities (A-Z Management):
-End-to-End Billing: Manage the full lifecycle: Claims submission, Clearinghouse rejections, Payment posting, and Statements.
-Denial Management Expert: You must be able to research root causes, write effective appeal letters, and aggressively follow up on denials.
-AR Management: Aggressively work the aging buckets (30/60/90 days) to ensure steady cash flow.
-Pain Management Authorization: Secure Prior Authorizations for interventional procedures (ESI, RFA, SCS) and medications.
-Credentialing: Maintain and update CAQH, PECOS, and NPPES profiles; handle re-credentialing applications.
Specialty Requirements (Non-Negotiable):
-Pain Management Expertise: Deep understanding of CPT codes for injections, nerve blocks, and ablations (e.g., 62321, 62323, 64635).
-Medicare LCD Mastery: You must be comfortable interpreting Medicare Local Coverage Determinations (LCDs) for Pain Management to ensure medical necessity is met before we bill.
-Modifier Precision: Expert use of modifiers 25, 59, 50, LT/RT in a pain setting.
Qualifications:
-Experience: Minimum 4+ years of US Medical Billing experience (Pain Management specific experience is heavily preferred).
-English Proficiency: Top-tier verbal and written English. You will be communicating with US insurance reps and potentially patients.
-Independence: You must be a problem solver who does not need to be micromanaged.
How to apply (IMPORTANT)
To confirm attention to detail, write LCD in the first line of your application message.
Include:
-Resume with U.S. billing/RCM experience (systems used + specialty + volumes)
-Short cover letter answering the screening questions below
-Two references (name/role/email)
Screening questions (answer in your cover letter):
-Walk me through your step-by-step workflow for a medical necessity denial (research ? appeal ? follow-up).
-For interventional pain procedures, what documentation do you verify before submitting/appealing to align with Medicare LCD expectations?
-If A/R >90 spikes this month, what is your 48-hour action plan?
-Describe your credentialing experience (CAQH/PECOS/payer portals) and how you track deadlines.
-What KPIs do you track weekly, and why?
