Revenue Cycle Management Specialist

Job Title: Revenue Cycle Specialist (Remote)

Location: Remote
Employment Type: Part Time - 1099 Employee (20 hours) **Additional hours as Approved by Manager

Compensation: $20-23 per hour

About FamilyWell Health: 

FamilyWell Health is a tech-enabled behavioral health company dedicated to solving the women’s mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn clinics. Founded by a physician mother and led by women, FamilyWell integrates comprehensive women’s mental health programs into Ob/Gyn practices utilizing the collaborative care model. For more information, visit familywellhealth.com.

About the Role:

We are seeking a highly detail-oriented and motivated Revenue Cycle Specialist to join our healthcare team. This is a remote, entry-level position ideal for professionals with a strong foundation in insurance verification and medical billing, who are ready to contribute to a fast-paced and mission-driven environment. You will be responsible for ensuring timely and accurate claims processing and payment collections to support the financial operations of the organization.

Key Responsibilities:

• Perform insurance verification for patients, ensuring coverage accuracy and completeness.
• Follow up on unresolved insurance claims to secure timely payment.
• Make phone calls and utilize insurance portals to check claim statuses and resolve issues.
• Update plan IDs, correct payor or patient demographic and insurance information, and document actions taken in detailed account notes.
• Identify payor issues, trends, and re-coup problems; take action to resolve them efficiently.
• Request additional documentation (e.g., medical records, patient information) to support claims as needed.
• Follow up on patient balances as assigned.
• Collaborate with team members to ensure smooth revenue cycle operations.
• Maintain a high level of accuracy and organization in managing patient insurance records.
• Distraction free environment.
• Maintain PHI compliance.
• Other administrative and billing tasks as assigned.
  
  

Duties & Responsibilities:

Billing and Invoicing/Claims

• Ensure invoices and claims are properly documented, approved, and sent on schedule.
• Generate accurate and timely invoices for clients and partners.
• Provide member/insurance revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Payment Posting and Denials Management

Financial Recordkeeping

• Collaborate on reconciling accounts and resolving discrepancies.

Denial Management

• Timely follow up with health plan partners on outstanding claims
• Submission of corrected claims and appeals as applicable.

Collections

• Generate member statements and work with members to collect and resolve past due balances.

Reporting and Analysis

• Assist in generating regular reports on payment status and financial performance.
• Analyze data to identify trends and areas for improvement.

Compliance and Documentation

• Ensure adherence to financial regulations and policies.
• Maintain accurate documentation of payment processes.

Customer Success

• Provide empathetic and compassionate customer service to families who may be struggling to meet payment obligations.
• Resolve payment disputes or concerns professionally and courteously.
• Maintain open communication with providers, payers, and internal stakeholders to resolve insurance eligibility and benefits, as well as claims issues.

 

Qualifications:

• High school diploma or equivalent required
• Minimum of 2 years of experience in a medical billing, insurance verification, or healthcare office environment.
• Knowledge of insurance coverage types, policies, and claims processes.
• Medical billing certification is a plus.
• Proficiency in Google suite, Microsoft Office and prior computer experience required.
• Strong multitasking, organizational, and time-management skills.
• Excellent verbal communication and documentation skills.
• Ability to analyze trends, identify root causes, and solve problems independently.
• Comfortable working remotely and independently with minimal supervision.
• 2+ years of experience as a revenue cycle specialist, payment coordinator, accounts receivable specialist, or a similar role required.
• 1+ years of behavioral health billing experience required.
• Excellent attention to detail and accuracy in data.
• Strong understanding of billing and invoicing processes.
• Highly independent, proactive, resilient, and empathetic.
  
  

Preferred Experience:

• 1–2 years of medical billing experience.
• Experience working in a healthcare team environment.
  
  
• Experience using EMR/EHR systems and insurance portals.