Full-Time Revenue Cycle Specialist
Brave Health is hiring a remote Full-Time Revenue Cycle Specialist. The career level for this job opening is Experienced and is accepting USA based applicants remotely. Read complete job description before applying.
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Brave Health
Job Title
Revenue Cycle Specialist
Posted
Career Level
Full-Time
Career Level
Experienced
Locations Accepted
USA
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Job Details
Overview:
Under the direction of the Supervisor of Revenue Cycle Management, the Revenue Cycle Management (RCM) Specialist is responsible for ensuring accurate billing and the timely submission of electronic and paper claims. This role includes monitoring claim status, researching and resolving denials or rejections, documenting account activities, and posting adjustments and collections. The RCM Specialist must demonstrate strong critical thinking skills and possess in-depth knowledge of Commercial, Medicaid, and Medicare eligibility requirements and contract guidelines.
Key Responsibilities:
- Denial and Claims Management: Identify and analyze denial trends, using findings to suggest process and system improvements to prevent future issues. Research and resolve unpaid, denied, and rejected claims, including communication with payers and submitting denials as needed. Handle EDI transactions, including reconciliation of payer submissions, edits, and rejection reports. Partner closely with the Insurance Verification team to identify upstream impacts on claim processing. Collaborate effectively with team members and other departments to support organization goals and implement process improvements
- Collections and Payment Resolution: Complete collection activities in compliance with payer guidelines and filing limits, ensuring actions are thoroughly documented. Review posted payments and process account adjustments as appropriate
- Customer Support and Continuous Improvement: Monitor patient accounts for non-payment, delayed payment, and billing irregularities, maintaining accurate records and taking appropriate steps for resolution. Investigate and respond to patient billing inquiries
Competencies, Skills & Experience Required:
- High school diploma or GED
- 3+ years of RCM experience
- Ability to analyze claims data to spot trends and suggest mitigation strategies
- Experience in healthcare accounts receivable and collections
- Strong attention to detail
- Excellent oral and written communication skills
- Working knowledge of medical coding principles, denials, and payer-specific requirements
- In-depth understanding of Medicaid, Medicare, and commercial insurance billing processes
Preferred Skills:
- A background in mental or behavioral health billing
- Fluent in Spanish
- Proficient in Microsoft Excel and Word
FAQs
What is the last date for applying to the job?
The deadline to apply for Full-Time Revenue Cycle Specialist at Brave Health is
4th of October 2025
. We consider jobs older than one month to have expired.
Which countries are accepted for this remote job?
This job accepts [
USA
] applicants. .
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