Billing Support Specialist

We are seeking an experienced accounts receivable collector to manage assigned payers on the Revenue Cycle Management team. As a Billing Support Specialist, you will tackle complex billing challenges and drive operational excellence. In this individual contributor role, you will leverage your expertise to investigate claim denials, navigate evolving payer requirements, and ensure complex claims are prioritized and resolved accurately.

Responsibilities

Manage assigned payers as an accounts receivable collector on the Revenue Cycle Management team; Investigate claim denials; Navigate evolving payer requirements; Ensure complex claims are prioritized and resolved accurately; Partner with cross-functional teams to investigate operational and denial trends and identify opportunities to optimize workflows and claim outcomes; Act as the pod's go-to expert for payer workflows, claim resolutions, and operational standards; Help guide new-hire onboarding and resolve team questions; Elevate performance by embedding best practices across the pod

Requirements

2+ years experience in a healthcare billing, insurance, patient relations, or medical claims role; Comprehensive understanding of insurance policies, claim processing, appeals, and recoupment procedures; Thorough knowledge of Denial Language and Carrier CARC Codes; Expert understanding of The Life Cycle of a Claim; A noted ability to apply critical thinking to evaluate complex cases, identify solutions, and make informed decisions; Intermediate proficiency with Google Sheets/Excel, with the skills to format data, create basic charts, and create pivot tables independently

Nice to have

Previous experience billing and collecting in mental/behavioral health space; Working knowledge of medical coding, including the ability to identify coding-related denials, recognize billing discrepancies and support claim resolution (CPC certification a plus); Proficiency with electronic health record (EHR) systems, billing software, and platforms such as AdvancedMD, eClinicalWorks, athenahealth, etc.; Ability to multitask, prioritize workloads, maintain a high attention to detail, and meet tight deadlines in a fast-paced environment; 2+ years of experience interacting with offshore vendors, either/or as a partner, or leading directly

Benefits

100% remote work environment with working hours to support work-life balance (must be based in United States, currently not hiring in Hawaii); Full transparency of pay ranges regardless of location in the United States; Comprehensive health benefits: medical, dental, vision, life, disability, and FSA/HSA; 401(k) plan access; Generous time-off policies including 2 company-wide shutdown weeks each year for most employees; Paid parental leave for all parents, including birthing, non-birthing, adopting, and fostering; Employee Assistance Program (EAP); Quarterly department stipend for team-building activities or in-person gatherings; Community and employee resource groups; Home office stipend for new hires and $50 monthly stipend for internet or cell phone expenses; Wellness at Rula program with year-round wellness initiatives and a $50/month wellness stipend