Revenue Cycle Specialist - Hybrid/Boston, MA

BrookBoston, MA
3d$60,000 - $75,000Hybrid

About The Position

About Brook Health Brook Health delivers care beyond the walls of the doctor’s office. We provide people living with chronic conditions a highly personalized experience enhanced by AI and powered by mobile apps, connected devices, and a team of health coaches and clinicians. Brook helps people achieve their long-term health goals by supporting smart, daily decisions and partnering with their primary care physicians. Our product suite includes continuous remote monitoring, population health management tools, and a CDC-approved diabetes prevention program. Brook has an intentional, user-centric culture with high expectations for delivering better health outcomes for patients, providers, and health systems. Position Summary The Revenue Cycle Specialist plays a critical role in managing Brook’s end-to-end billing and reimbursement processes, ensuring claims are accurate, submitted on time, and resolved efficiently. This role demands exceptional attention to detail, a strong sense of urgency around deadlines, and a service-oriented approach to supporting patients, partners, and internal teams. The Revenue Cycle Specialist is accountable for meeting submission and follow-up timelines, resolving denials proactively, and maintaining precise documentation across all revenue-cycle activities. They balance technical billing expertise with responsive, professional communication—understanding that accuracy, timeliness, and service quality are equally critical to Brook’s financial health and patient experience. This role is ideal for someone who takes pride in precision, thrives in a deadline-driven healthcare environment, and is motivated by delivering reliable, high-quality service in support of patient care.

Requirements

  • Strong understanding of healthcare billing, coding, and claims-management processes
  • Proven ability to manage high-volume, detail-sensitive work while meeting strict deadlines
  • Highly detail-oriented with a track record of accuracy and consistency
  • Service-oriented mindset with strong interpersonal skills for patient and payor interactions
  • Proficiency with EMR/EHR revenue-cycle modules
  • Strong written and verbal communication skills
  • Proficiency in Microsoft Excel or Google Sheets for tracking and reporting
  • Highly organized, dependable, and accountable in a fast-paced healthcare environment
  • Collaborative, solution-focused approach with a commitment to continuous improvement
  • Minimum 3 years of accounts receivable or billing experience in a healthcare setting
  • High school diploma or equivalent required

Nice To Haves

  • Epic or Cerner certification strongly preferred
  • Medical Billing Certification strongly preferred

Responsibilities

  • Prepare, review, and submit accurate claims to commercial, Medicare, and Medicaid payors within required submission deadlines
  • Validate coding, modifiers, and supporting documentation to prevent errors, rework, and delays
  • Maintain disciplined claim submission workflows to ensure consistency, accuracy, and on-time execution
  • Review denied or underpaid claims promptly and prioritize follow-up based on aging and financial impact
  • Identify root causes and trends in denials and take corrective action to prevent recurrence
  • Prepare and submit appeals and corrected claims within payor-defined timeframes
  • Verify insurance coverage and benefits accurately and in advance when possible
  • Calculate patient financial responsibility and communicate balances clearly, respectfully, and with empathy
  • Respond to patient billing inquiries promptly, demonstrating a service-oriented and solutions-focused approach
  • Actively manage assigned A/R, ensuring timely follow-up, documentation, and resolution
  • Track outstanding balances, meet follow-up deadlines, and maintain accurate aging reports
  • Escalate risks to timely payment and cash flow as appropriate
  • Identify bottlenecks, errors, or workflow gaps that delay payment or increase rework
  • Partner with Finance and Clinical Operations to improve accuracy, efficiency, and predictability in billing outcomes
  • Maintain thorough, audit-ready documentation that supports billing decisions and payor requirements
  • Adhere strictly to healthcare regulations, internal policies, and compliance standards
  • Collaborate closely with Clinical Operations, Partner Success, and Finance to ensure aligned, service-driven revenue-cycle execution
  • Communicate clearly and proactively to prevent downstream issues
  • Contribute to improvements in billing workflows, automation, and reporting while maintaining accuracy and deadline integrity
  • Support system updates and process changes with attention to detail and follow-through
  • Support additional revenue-cycle responsibilities as needed to ensure service continuity and operational excellence

Benefits

  • In addition to meaningful work in a mission-driven company, Brook offers a comprehensive benefits package designed to support the medical, financial and mental health wellbeing of our employees and their families.
  • Healthcare Coverage Employee & Child(ren): Brook pays 100% of premiums for full-time employees and their child or children for Medical, Dental, and Vision coverage. This means there are no paycheck deductions for you or your child(ren).
  • Spouse/Domestic Partner: Brook contributes 50% of premiums for coverage of a spouse or domestic partner.
  • HSA Contribution: Employees who enroll in our HSA-eligible medical plan receive a Brook-funded contribution to help cover medical expenses such as deductibles, prescriptions, and office visits.
  • Medical Concierge: Brook provides a concierge service to help employees and their families manage healthcare needs like claims, referrals, and care coordination.
  • Mental Health & Wellbeing Mental Health Support: Brook supplements the mental health coverage included in our medical plan with additional resources. Employees have access to free therapy sessions through Spring Health, providing confidential, professional support when it’s needed most.
  • Flexible PTO: Our PTO program is truly flexible — no accruals and no preset limits. You and your manager decide what’s reasonable, so you can take the time you need to recharge. In addition, we provide dedicated sick time to support your health and well-being, and a generous holiday schedule that ensures time to rest and celebrate with family and friends.
  • Financial Wellness & Security Income Protection: Brook provides Short-Term and Long-Term Disability insurance to all full-time employees, helping replace income during an illness or injury. Short-Term Disability works alongside any state or insurance benefits and Brook coverage to provide added financial support while you’re away from work.
  • Life Insurance: Brook provides company-paid life insurance equal to one times salary, up to a set maximum.
  • 401(k) Retirement Savings: All employees (full-time and part-time) are automatically enrolled in our 401(k) plan. Brook provides a company match to help employees grow their retirement savings.
  • Emergency Savings Account (ESA): Brook helps employees build financial resilience by supporting contributions to an emergency savings account. Brook matches a portion of employee contributions, helping the fund grow faster. The account is completely flexible — you decide what qualifies as an emergency and how to use the funds.
  • Recognition & Community Employee Referral Bonus: Great people know great people. When you refer a candidate who is hired, you’ll receive a referral bonus.
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