Revenue Cycle Specialist - Remote

The role

The Revenue Cycle Management Specialist ensures accurate billing and timely submission of electronic and paper claims. This person will monitor claim status, research denials, and document account activities under the direction of the Supervisor of Revenue Cycle Management.

What you will do

• Identify and analyze denial trends to suggest process and system improvements
• Research and resolve unpaid, denied, and rejected claims
• Communicate with payers and submit denials
• Handle EDI transactions including reconciliation of 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 organization goals
• Complete collection activities in compliance with payer guidelines and filing limits
• 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

Required qualifications

• High school diploma or GED
• 3+ years of RCM experience
• 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

Nice to have

• A background in mental or behavioral health billing
• Fluent in Spanish
• Proficient in Microsoft Excel and Word

About the company

Brave Health is a community health-centered organization dedicated to expanding access to compassionate, high-quality mental health care through technology.