Revenue Cycle Claims Specialist

Job Summary

To optimize revenue cycle operations, the full-time remote Revenue Cycle Claims Specialist will manage claims triaging, resolve payer rejections, and ensure compliance with industry standards while collaborating with cross-functional teams.

Key responsibilities

• Monitor and triage claims approaching timely filing limits, collaborating with the RCM team to resolve and submit claims for billing
• Research and appeal claim denials, ensuring adherence to appeal deadlines and effective communication with payers
• Lead workflow optimization initiatives and contribute to the development of efficient billing and claims processing processes

Required qualifications

• 5+ years of relevant experience in revenue cycle management or related roles, preferably in healthcare tech or mental health
• Deep understanding of revenue cycle processes, including billing, claims processing, and compliance
• Proven ability to analyze complex RCM data and implement data-driven solutions
• Exceptional organizational and time management skills, capable of managing multiple priorities in a fast-paced environment
• Proficiency in Google Suite, Slack, and EHR/RCM management tools