Revenue Cycle Specialist

Foodsmart

6d•$50,000 - $65,000•Remote

About The Position

The Revenue Cycle Specialist is a hands-on member of Foodsmart’s collaborative Revenue Cycle Operations team, which manages end-to-end insurance billing and the patient billing experience. The role supports timely, accurate reimbursement by submitting, tracking, and resolving claims. In addition to routine claims work, the Specialist investigates the causes of denials and rejections, handles ad hoc billing problems, and helps improve processes, including through technology and automation. The position is remote in the USA. The stated base salary range is $50,000–$65,000 annually, plus benefits. Individual pay is based on work location, job-related skills, experience, and relevant education or training.

Requirements

1–3 years of experience in medical billing, claims submission, or denials management.
Working knowledge of claim lifecycle basics, including CMS-1500/837 claims, CPT/ICD-10 coding, EOBs/ERAs, and common denial reason codes.
Comfort using Google Suite and Excel, including sorting and filtering; pivot tables and VLOOKUPs are ideally familiar.
Strong written and verbal communication skills; comfort working with health plans to resolve payment issues is desirable.
Clear communication and strong teamwork.
Detail-oriented with an analytical streak.
Comfortable switching priorities when urgent work arises.
Curious and eager to learn, including asking why processes work as they do.
Able to work independently on assigned work and recognize when to ask for help.

Nice To Haves

Experience with EMR or RCM software, such as Candid.
Experience with Medicaid or Medicare billing.
Experience with registered dietitian, nutrition services, and/or food billing.

Responsibilities

Prepare and submit health-plan claims accurately and on time, and keep work moving through the billing cycle.
Research denied and rejected claims, identify root causes, make corrections, and resubmit claims; flag recurring patterns for the team.
Monitor claim status and follow up with health plans and revenue cycle management partners to help resolve payment issues.
Help prepare claims and billing reports and keep documentation clean and up to date, including supporting month-end close.
Conduct investigations, one-off cleanups, and special projects, such as researching aged claims or payer-specific issues.
Work with finance, product, and engineering teams to share observations from claims data and daily work, and help test and provide feedback on process or system improvements.
Support billing communications and questions to help provide a smooth experience for patients and health plans.