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About the role
Key responsibilities & impact- Manage the full revenue cycle process for assigned medical practices
- Submit, track, and monitor insurance claims through Athenahealth
- Resolve claim issues affecting reimbursement
- Perform accounts receivable follow-up and collections activities
- Investigate claim denials, research root causes, submit appeals, and resolve reimbursement discrepancies
- Review aging reports and prioritize outstanding receivables
- Communicate with insurance carriers regarding claim status and payment discrepancies
- Document billing activities and maintain accurate billing records and reports
- Share billing performance insights, operational issues, and process improvement opportunities with leadership
- Support workflow distribution and collaborate with offshore billing resources
- Provide customer service support to physicians and practice stakeholders
- Support multiple physician practices and manage priorities across client accounts
- Build and refine internal RCM processes, tools, and workflows as the department scales
- Work primarily in Athenahealth and potentially use Tebra, Charm Health, AdvancedMD, HubSpot, and Zendesk
Requirements
What you’ll need- 3–5 years of experience in medical billing and revenue cycle management in a healthcare setting
- Hands-on experience using Athenahealth for medical billing and claims management
- Experience working with primary care practices and understanding of primary care billing workflows
- Demonstrated experience performing accounts receivable follow-up, collections, payment posting, and insurance verification
- Experience investigating claim denials, submitting appeals, and resolving insurance reimbursement issues
- Background supporting offshore billing teams or coordinating work with offshore resources
- Proficiency with medical claims, invoicing, insurance processes, and data entry related to healthcare billing
- Strong communication skills with physicians, practice staff, and insurance carriers
- Ability to work independently and productively in a remote environment
- Experience supporting multiple physician practices and managing priorities across multiple client accounts
- Strong organizational skills with meticulous attention to documentation and record-keeping
- Experience working in a growing, high-growth healthcare organization and adapting to evolving processes
- Familiarity with Tebra, Charm Health, and AdvancedMD
- Experience using HubSpot and Zendesk
- Ability to contribute to operational strategy and scalability within an internal RCM department
- Comfort collaborating with onshore and offshore team members in a distributed environment
- Standard working hours of 9:00 a.m. to 5:00 p.m. EST
- Based out of New York, NY
Benefits
Comp & perks- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
- Long-term contract-to-hire path
- Opportunity to make a direct impact on operational strategy and scalability
- Fully remote work environment