Midi Health · 11 hours ago
Revenue Cycle Specialist
Midi Health is a pioneering company focused on providing compassionate, high-quality healthcare to women 40+. The Revenue Cycle Specialist plays a critical role in optimizing revenue cycle operations, managing claims, and supporting patient financial experiences in a telehealth environment.
Health CareMedicalTherapeuticsWomen's
Responsibilities
Manage and troubleshoot medical claims for telehealth services using the Athena platform, ensuring compliance with internal coding guidelines, payer requirements, and regulatory standards
Own assigned components of the revenue cycle claims follow-up, denial resolution, patient support, and patient accounts receivable (AR)
Support patients in understanding financial responsibility, billing statements, and available payment options
Respond to billing-related inquiries through Zendesk or similar platforms in a timely, professional, and empathetic manner
Communicate directly with insurance payers and third-party vendors to resolve billing and coding issues, appeal denials, and negotiate payment outcomes
Participate in regular audits and reviews of billing data to identify errors, trends, and opportunities for revenue cycle improvement
Adhere to key Service Level Agreements (SLA’s) related to patient support, claim holds, and resolution timelines
Contribute to cross-functional initiatives aimed at improving RCM workflows, patient experience, and system efficiency
Support the implementation of new tools, technology enhancements, and process improvements as the organization scales
Identify, research, and resolve credit balances, overpayments, and refund requests in accordance with payer contracts and internal policies
Support special projects related to claims, patient support, internal tools, and/or partnerships
Identify root causes and recommend corrective actions to reduce future denials
Collaborate cross-functionally to resolve non-standard revenue cycle issues
Monitor, review, and respond to payer and patient correspondence within billing systems (including Athena correspondence dashboards) to ensure timely resolution of revenue cycle issues
Qualification
Required
2–3+ years of experience in medical billing and revenue cycle operations, preferably in a telehealth or high-growth healthcare environment
2–3+ years of experience managing patient and insurance accounts receivable
Hands-on experience using billing platforms such as Athena, including claims troubleshooting and patient support
Strong understanding of healthcare reimbursement methodologies and coding guidelines (CPT, ICD-10, HCPCS)
Experience working remotely in a fast-paced, deadline-driven environment
Excellent written and verbal communication skills with a strong customer service mindset
Strong organizational skills with the ability to manage multiple priorities independently
Benefits
Paid time off
Paid holidays
Medical, Dental, Vision Benefits; 401K option after 90 days of service
Company
Midi Health
Midi Health provides virtual care for women in midlife, offering clinician support for menopause, hormonal health, and related conditions.
Funding
Current Stage
Growth StageTotal Funding
$152MKey Investors
Advance Venture PartnersEmerson CollectiveGoogle Ventures
2025-10-02Series C· $50M
2024-04-24Series B· $63M
2023-09-27Series A· $25M
Recent News
Company data provided by crunchbase