Revenue Cycle Specialist

🔥 18 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $24 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 17%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Brave Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

📡 Telecommunications

💰 $40M Series C on 2022-10

Healthcare • Healthcare Insurance • Telecommunications

Brave Health is a company delivering comprehensive mental health care through telehealth solutions, focused on providing individualized therapy and psychiatric medication management. The company offers a wide array of services including individual therapy, marriage and family counseling, and clinician-led group therapy, and focuses on using evidence-based and specialized therapeutic programs such as Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR). They are in-network with over 200 insurance plans, including commercial, Medicaid, and Medicare. Brave Health is committed to improving patients' access to care while reducing hospital readmissions, offering a personalized treatment approach through a diverse clinical team. Their programs emphasize the importance of data-driven and clinically proven strategies for mental health treatments.

📋 Description

• Ensure accurate billing and timely submission of electronic and paper claims • Monitor claim status and research and resolve denials or rejections • Document account activities and post adjustments and collections • Identify and analyze denial trends and suggest process and system improvements • Research and resolve unpaid, denied, and rejected claims, including communicating with payers and submitting denials as needed • Handle EDI transactions, including reconciliation of payer submissions, edits, and rejection reports • Partner with the Insurance Verification team to identify upstream impacts on claim processing • Collaborate with team members and other departments to support organizational goals and implement process improvements • Complete collection activities in compliance with payer guidelines and filing limits, thoroughly documenting actions • Review posted payments and process account adjustments as appropriate • Monitor patient accounts for non-payment, delayed payment, and billing irregularities • Investigate and respond to patient billing inquiries • Work under the direction of the Supervisor of Revenue Cycle Management

🎯 Requirements

• High school diploma or GED • 3+ years of RCM experience, with a strong preference for familiarity with accounts receivable processes • Ability to analyze claims data to spot trends and suggest mitigation strategies • A history of working in digital or virtual health • Use of medical billing systems (i.e. Candid Health, Healthie) • Extensive experience in healthcare accounts receivable and collections • Strong attention to detail with a focus on accuracy and prioritization • Excellent oral and written communication skills across internal and external stakeholders • Proven customer service abilities in resolving patient and payer inquiries • Working knowledge of medical coding principles, denials, and payer-specific requirements • Ability to thrive in a fast-paced, high-volume environment • Commitment to adhering to HIPAA and regulatory compliance guidelines • In-depth understanding of Medicaid, Medicare, and commercial insurance billing processes • Preferred: A background in mental or behavioral health billing • Preferred: Fluent in Spanish • Preferred: Proficient in Microsoft Excel and Word

🏖️ Benefits

• Full-time, 100% remote position • Monday–Friday work schedule • Equal opportunity employer • Diverse and inclusive workplace