Revenue Cycle Specialist - Remote

Brave Health

1d • $24 - $26 • Remote

About The Position

At Brave Health, the Revenue Cycle Specialist supports the organization’s mission to expand access to compassionate, high-quality mental health care. Under the direction of the Supervisor of Revenue Cycle Management, this role ensures accurate billing and timely submission of electronic and paper claims. The specialist monitors claim status, researches and resolves denials or rejections, documents account activities, and posts adjustments and collections. The role requires strong critical thinking and in-depth knowledge of Commercial, Medicaid, and Medicare eligibility requirements and contract guidelines.

This is a full-time, 100% remote position. Applicants hired for this position can work from most states and will work Monday through Friday.

Requirements

• High school diploma or GED.
• At least 3 years of revenue cycle management experience, with strong preference for familiarity with accounts receivable processes.
• Ability to analyze claims data, identify trends, and suggest mitigation strategies.
• Experience using medical billing systems, such as Candid Health or Healthie.
• Extensive experience in healthcare accounts receivable and collections.
• Strong attention to detail, accuracy, and prioritization.
• Excellent oral and written communication skills with 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.

Nice To Haves

• A background in mental or behavioral health billing.
• Fluency in Spanish.
• Proficiency in Microsoft Excel and Word.
• A history of working in digital or virtual health.

Responsibilities

• Identify and analyze denial trends, and use findings to suggest process and system improvements to prevent future issues.
• Research and resolve unpaid, denied, and rejected claims, including communicating with payers and submitting denials as needed.
• 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 organizational goals and implement process improvements.
• Complete collection activities in compliance with payer guidelines and filing limits, documenting actions thoroughly.
• Review posted payments and process account adjustments as appropriate.
• Monitor patient accounts for non-payment, delayed payment, and billing irregularities; maintain accurate records and take appropriate steps to resolve issues.
• Investigate and respond to patient billing inquiries.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED