RCM Onboarding Specialist

Job Description – RCM Onboarding Specialist 

Reports To: Director of RCM Business Development 

Department: RCM 

Location: Remote (U.S.) 

Role Type: Full-Time 

Position Summary 

The RCM Onboarding Specialist plays a critical role in ensuring new Revenue Cycle Management (RCM) clients are set up for long-term billing success. This role owns the configuration and onboarding process from kickoff through handoff to the Testing & Projects team, ensuring every payer, service, schedule, and setting is accurately built so claims can flow cleanly and get paid on time. 

This role works closely with clients, internal teams, and payer portals to make sure all billing infrastructure is established correctly and documented thoroughly. 
 

Key Responsibilities

Electronic Payment (ERA) & Remittance Setup 

Guide new clients through the setup of electronic payments and remittance (ERA) enrollment.

Ensure all information is configured correctly for smooth payment posting. 

Payer Portal Access & Credential Coordination 

Collect, organize, and validate payer portal credentials.

Ensure appropriate AxisCare team members have secure access for eligibility, authorization, and claim-status functions. 

EVV Configuration 

Configure Electronic Visit Verification (EVV) rules based on state and payer requirements.

Ensure visits flow accurately into the billing process. 

Payer Configuration in AxisCare 

Build and validate payer profiles, including IDs, billing rules, and submission details.

Document payer nuances, requirements, and any exceptions. 

Service & Fee Schedule Setup 

Configure billable services (codes, modifiers, units, and related details) for each payer.

Add and maintain new services as requirements evolve. 

Claims & Billing Rules 

Establish correct claim creation logic, payer sequencing, and billing settings.

Ensure claims route properly to support accurate and timely submission. 

Client Communication & Expectation Setting 

Participate in onboarding calls with new clients.

Clearly communicate requirements, timelines, and next steps.

Deliver a high-quality, professional onboarding experience aligned with AxisCare values. 

Handoff to Testing & Projects 

Provide a clean, organized handoff to the Testing & Projects Manager, including all configuration notes, outstanding items, and readiness details. 

Required Experience, Skills, & Qualifications: 

2+ years of experience in medical billing, RCM, or third-party payer billing (Medicaid, MCOs, VA, commercial plans).

Understanding of claims submission, remittances/EOBs, denials, and reprocessing.

Experience working in payer portals and RCM systems.

Proficiency with productivity tools (email, spreadsheets, shared documents, task or project tools such as Asana or Jira).

High attention to detail—You consistently deliver accurate configuration and documentation.

Strong written communication—Clear documentation that allows others to understand status quickly.

Project-management mindset—Ability to manage multiple simultaneous onboardings and prioritize effectively.

Customer-service mindset—You’re confident, warm, and able to deliver a “white-glove” experience while maintaining process guardrails.

Thrives in a fast-paced environment—Comfortable adjusting priorities and staying organized.

Independent worker—You take ownership, ask good questions, and escalate when needed. 

Preferred Experience, Skills, & Qualifications:

Experience in home care, home health, or multi-state Medicaid billing.

Experience with VA billing.

Prior work with EVV integrations.

Experience in RCM outsourcing or billing services environments. 

Working Conditions:

Manual dexterity required to use desktop computer and peripherals

Utilization of phone, other software needed/required and email to perform job functions  

Compensation and Benefits:   

Competitive salary and comprehensive benefits package.  

Opportunities for professional growth and career development.  

Flexible work arrangements, including remote work options.  

Health, dental, and vision insurance.  

401(k) plan with company matching.

Company will provide laptop and other needed computer equipment. 

About AxisCare 

According to Pew Research, roughly 10,000 baby boomers turn 65 every day, and the American Society on Aging calculated that an American has a 70% chance of needing help with activities of daily living such as dressing, bathing, hygiene, etc. This has led to an unprecedented increase in Home Care agencies in the U.S. and abroad who strive to help those who have difficulty helping themselves, specifically offering non-medical (also referred to as non-skilled) services to seniors in their homes. 

AxisCare was started in 2011 by industry leaders to help meet the demand for a more user-friendly and mobile-compatible solution. Our product is a web-based management platform that helps agencies manage CRM and marketing, Caregiver/Client scheduling, billing, payroll and much more. Headquartered in Waco, TX, AxisCare has clients in all 50 states as well as 6 other countries We are a fast-growing company seeking high-performing individuals looking for a fast-paced, autonomous working environment. We are an Equal Opportunity Employer and comply with ADA regulations as applicable.