Revenue Cycle Specialist

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