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FamilyWell Health · 15 hours ago

Revenue Cycle Management Specialist (Full-Time)

United States

Full-time

Remote

Entry Level

2+ years exp

FamilyWell Health is an AI-enabled mental health start-up focused on addressing the women’s mental health crisis by providing integrated mental health care within OB/Gyn practices. They are seeking a detail-oriented Revenue Cycle Management Specialist to ensure timely and accurate claims processing and payment collections, supporting the financial operations of the organization.

ConsultingHealth CareHealth DiagnosticsMental Health

Responsibilities

Perform insurance verification for patients, ensuring coverage accuracy and completeness

Follow up on unresolved insurance claims to secure timely payment

Make phone calls and utilize insurance portals to check claim statuses and resolve issues

Update plan IDs, correct payor or patient demographic and insurance information, and document actions taken in detailed account notes

Identify payor issues, trends, and re-coup problems; take action to resolve them efficiently

Request additional documentation (e.g., medical records, patient information) to support claims as needed

Follow up on patient balances as assigned

Collaborate with team members to ensure smooth revenue cycle operations

Maintain a high level of accuracy and organization in managing patient insurance records

Distraction free environment

Maintain PHI compliance

Other administrative and billing tasks as assigned

Ensure invoices and claims are properly documented, approved, and sent on schedule

Generate accurate and timely invoices for clients and partners

Provide member/insurance revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Payment Posting and Denials Management

Collaborate on reconciling accounts and resolving discrepancies

Timely follow up with health plan partners on outstanding claims

Submission of corrected claims and appeals as applicable

Generate member statements and work with members to collect and resolve past due balances

Assist in generating regular reports on payment status and financial performance

Analyze data to identify trends and areas for improvement

Ensure adherence to financial regulations and policies

Maintain accurate documentation of payment processes

Provide empathetic and compassionate customer service to families who may be struggling to meet payment obligations

Resolve payment disputes or concerns professionally and courteously

Maintain open communication with providers, payers, and internal stakeholders to resolve insurance eligibility and benefits, as well as claims issues

Qualification

Medical billingInsurance verificationEMR/EHR systemsBillingInvoicingData analysisGoogle SuiteMicrosoft OfficeVerbal communicationOrganizational skillsAttention to detail