About this role
You will:
- Process and submit claims: Prepare and submit claims to health plans accurately and on time, and keep the work moving through the billing cycle.
- Work denials and rejections: Research denied and rejected claims, identify the root cause, make corrections, and resubmit. Flag recurring patterns to the team so we can fix issues at the source.
- Follow up on reimbursement: Monitor claim status, follow up with health plans and RCM partners, and help resolve payment issues.
- Support reporting and month-end close: Help prepare claims and billing reports, and keep documentation clean and up to date.
- Take on ad hoc projects: Jump in on investigations, one-off cleanups, and special projects as they arise. Examples include researching a batch of aged claims or digging into a payer-specific issue.
- Partner across teams: Work with finance, product, and engineering to share what you’re seeing in the data and in day-to-day claims, and help test and give feedback on process or system improvements.
- Support the patient and health plan experience: Help with billing communications and questions so patients and health plans have a smooth experience.
You are:
- A clear communicator and a good teammate
- Detail-oriented, with an analytical streak
- Comfortable switching priorities when something urgent comes up
- Curious and eager to learn, and happy to ask “why does it work this way?”
- Able to work independently on assigned work and know when to pull in help
You have:
- 1-3 years of experience in medical billing, claims submission, or denials management
- Working knowledge of claim lifecycle basics (CMS-1500/837 claims, CPT/ICD-10 coding, EOBs/ERAs, common denial reason codes)
- Comfort with Google Suite and Excel (sorting, filtering, and ideally pivot tables and VLOOKUPs)
- Strong written and verbal communication skills, ideally also with comfort working with health plans to resolve payment issues
- Experience with EMR or RCM software (i.e. Candid) is a plus
- Experience with Medicaid or Medicare billing is a plus
- Experience with registered dietician, nutrition services and/or food billing is a plus
Role: Revenue Cycle Specialist
Location: Remote, USA
Base Salary Range: $50,000 - $65,000 annually + benefits
Our salary ranges are determined by role, level, and location. Individual pay is determined by work location, job-related skills, experience, and relevant education or training.