Revenue Cycle Claims Specialist

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NOCD

WebsiteLinkedInAll Job Openings

201 - 500 employees

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 $34M Series B on 2023-01

Consulting • Insurance • Healthcare

NOCD is a mental health service provider specializing in the treatment of Obsessive-Compulsive Disorder (OCD) through Exposure and Response Prevention (ERP) therapy. The company offers personalized virtual therapy sessions with highly trained OCD specialists, who are experienced in delivering effective ERP therapy that is twice as fast as standard ERP therapy. NOCD is committed to providing accessible mental healthcare, accepting most insurance plans, and offering comprehensive support through their app. They pride themselves on their rigorous therapist training and evidence-based approach, enhancing the quality of life for those suffering from OCD. Based in Chicago, NOCD serves a diverse range of clients across all 50 states with a focus on their unique needs and backgrounds.

📋 Description

• Verify member insurance eligibility and benefits before service • Submit clean electronic claims through EHR and clearinghouse platforms • Ensure accurate CPT, ICD-10, and modifier coding for behavioral health and telehealth services • Monitor claim status and resolve rejections before adjudication • Manage claims across multiple payers • Review denial queues and submit clinical and administrative appeals • Track appeal outcomes and escalate payer trends to leadership • Post EOBs and ERAs to patient accounts and reconcile payments • Resolve underpayments, overpayments, and contractual adjustments • Process member refunds and balance transfers • Respond to member billing inquiries via phone, email, and chat • Explain EOBs, member responsibility amounts, and payment options • Resolve billing disputes and document corrections in CRM and EHR systems • Maintain accurate claims, member interaction, and billing adjustment records • Follow HIPAA and company compliance standards • Report denial rates, days in A/R, clean claim rates, and collection rates to the manager

🎯 Requirements

• 2+ years of experience in medical billing, revenue cycle, or insurance claims processing • Working knowledge of the full claims lifecycle, including eligibility verification, claims submission, denial management, appeals, and payment posting • Proficiency reading and interpreting Explanations of Benefits (EOBs) and Electronic Remittance Advices (ERAs) • Understanding of deductible, copay, coinsurance, prior authorization, coordination of benefits, and timely filing • Experience with CPT and ICD-10 coding for behavioral health or telehealth services • Familiarity with clearinghouse platforms and EHR systems • Ability to manage high-volume work queues with strong attention to detail and analytical thinking • Excellent written and verbal communication skills • Ability to explain billing clearly to members

🏖️ Benefits

• Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match • 11 observed company holidays a year • PTO based on an accrual system • Engaging startup environment with an outstanding mission-driven team atmosphere • Downtown Chicago office with an on-site gym • 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees • Annual performance-based incentives tied to individual achievement and company-wide goals