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Revenue Cycle Specialist
Brave Health. Ensure accurate billing and timely submission of electronic and paper claims .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue cycle management, particularly in healthcare accounts receivable and collections, with a strong focus on accuracy, compliance, and process improvement. Proficient in analyzing claims data and resolving billing inquiries while adhering to regulatory guidelines.
Highest-signal resume keywords
Revenue Cycle Management (RCM)Healthcare Accounts ReceivableMedical Billing SystemsClaims Data AnalysisHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingDenial ManagementMedical Coding PrinciplesElectronic Data Interchange (EDI)Accounts AdjustmentsBilling Irregularities MonitoringPayment PostingCollection ActivitiesTrend AnalysisPayer-Specific Requirements
Soft Skills
Attention to DetailCommunication SkillsCustomer ServiceProblem SolvingCollaboration
Tools & Technologies
Candid HealthHealthieMicrosoft ExcelMicrosoft Word
Industry Keywords
Medicaid BillingMedicare BillingCommercial Insurance BillingRegulatory ComplianceDigital Health
About the role
Key responsibilities & impact- Ensure accurate billing and timely submission of electronic and paper claims
- Monitor claim status and research and resolve denials or rejections
- Document account activities and post adjustments and collections
- Identify and analyze denial trends and suggest process and system improvements
- Research and resolve unpaid, denied, and rejected claims, including communicating with payers and submitting denials as needed
- Handle EDI transactions, including reconciling payer submissions, edits, and rejection reports
- Partner with the Insurance Verification team to identify upstream impacts on claim processing
- Collaborate with team members and other departments to support organizational goals and implement process improvements
- Complete collection activities in compliance with payer guidelines and filing limits, with thorough documentation
- Review posted payments and process account adjustments
- Monitor patient accounts for non-payment, delayed payment, and billing irregularities
- Investigate and respond to patient billing inquiries
Requirements
What you’ll need- High school diploma or GED
- 3+ years of RCM experience, with a strong preference for familiarity with accounts receivable processes
- Ability to analyze claims data to spot trends and suggest mitigation strategies
- A history of working in digital or virtual health
- Use of medical billing systems (i.e. Candid Health, Healthie)
- Extensive experience in healthcare accounts receivable and collections
- Strong attention to detail with a focus on accuracy and prioritization
- Excellent oral and written communication skills across internal and external stakeholders
- Proven customer service abilities in resolving patient and payer inquiries
- Working knowledge of medical coding principles, denials, and payer-specific requirements
- Ability to thrive in a fast-paced, high-volume environment
- Commitment to adhering to HIPAA and regulatory compliance guidelines
- In-depth understanding of Medicaid, Medicare, and commercial insurance billing processes
- Fluent in Spanish preferred
- Proficient in Microsoft Excel and Word preferred
Benefits
Comp & perks- 100% remote position
- Monday–Friday work schedule
- Equal opportunity employer
- Diverse and inclusive work environment