Revenue Cycle Claims Specialist

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Finni Health (YC W23)

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2022

⚕️ Healthcare Insurance

📚 Education

Healthcare Insurance • Mental Health • Education

Finni Health is a nationwide provider of expert ABA (Applied Behavior Analysis) and mental health care designed for families navigating autism. By connecting families with highly qualified therapists, Finni offers personalized support that includes in-home or in-clinic services, flexible scheduling, and family-led goal setting. With a commitment to results-based care, Finni is dedicated to improving the lives of children with autism and their families through dedicated therapy that enhances daily living skills, communication, and emotional regulation.

📋 Description

• Play a critical role in optimizing our revenue cycle operations • Monitor claims approaching timely filing limits and alert the RCM team about these claims • Resolve payer claims rejections by researching the root cause, calling the payer, and ultimately get claims accepted • Follow up on claims with no payer response and ensure claims are on file with payers • Identify root cause of issues and work with various teams to obtain updated coverage information • Research root cause of claim denials and appeal them within deadlines • Ensure all EDI related enrollments are in place with payers • Ensure strict adherence to payer regulations and internal policies • Lead workflow optimization initiatives within RCM and manage specific projects • Collaborate extensively with multiple teams to align RCM efforts with business objectives

🎯 Requirements

• 5+ years of relevant experience in revenue cycle management • Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management • Proven ability to work effectively within a team environment • Excellent written and verbal communication skills • Proficiency in Google Suite, Slack, CRM/support software, and EHR/RCM management tools

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development opportunities