Revenue Cycle Specialist

• 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.
• 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
• 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.