Revenue Cycle Specialist

Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a holistic approach to diagnosing, managing and treating digestive health conditions. Oshi Health has been recognized by Modern Healthcare and Builtin as the recipient of Best Place to Work awards. This recognition highlights our dedication to creating a workplace environment that prioritizes our team, fosters inclusivity, and is committed to our mission.

We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.  Our care is delivered virtually through our app, via secure messaging and telehealth visits.  When in-person diagnostics or procedures are needed, we take a concierge approach and coordinate access, care and follow up with local providers. For more information, visit us at: www.oshihealth.com

"Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to careers@oshihealth.com, and we’ll confirm whether you’re engaging with one of our Oshi teammates!"

Revenue Cycle Specialist

Do you thrive in a rapidly evolving, fast-paced environment requiring creativity, resourcefulness, high energy and an ability to adapt quickly?

Are you passionate about healthcare and looking to create a revolutionary new approach to digestive healthcare with a radically better patient experience?

If so, you could be a perfect fit for our team of professionals who share a mission to eliminate the impact of digestive health conditions through redesigned GI care that patients love

The Role:

We are seeking a detail-oriented and proactive Revenue Cycle Specialist to manage the Accounts Receivable (AR) and Denial Management processes within our billing operations. The ideal candidate will work closely with our Revenue Cycle Manager and other members of the Revenue Cycle team to identify, analyze, and resolve claim denials and outstanding balances. The ideal candidate will play a key role in maximizing revenue and ensuring timely and accurate reimbursement from all payers.

What you’ll do:

Accounts Receivable (AR) Management

• Monitor and follow up on outstanding claims to ensure timely payment from payers.
• Analyze aging reports and prioritize AR follow-up based on payer trends, aging buckets, and balance.
• Conduct payer outreach via phone or portal to resolve pending or unpaid claims.
• Post payments, adjustments, and denials accurately when required.

Denial Management

• Investigate and appeal denied or underpaid claims, ensuring timely and appropriate responses.
• Identify root causes of denials (e.g., coding issues, eligibility, authorization) and recommend process improvements.
• Maintain detailed documentation of all denial resolution and appeal efforts.
• Collaborate with your team and cross-functional teams to correct and resubmit denied claims as needed.
• Develop and maintain effective working relationships with payer representatives to resolve issues, stay updated on policy changes, and escalate concerns as appropriate.

Patient Collections

• Monitor and follow up on patient balances, ensuring timely and professional communication regarding outstanding amounts.
• Work with patients to resolve billing questions, provide statements, and offer payment plan options where applicable.
• Document all collection efforts in accordance with internal policies and regulatory standards.

Reporting & Communication

• Generate and analyze weekly and monthly AR and denial reports to track performance and trends.
• Report recurring issues or payer policy changes to leadership and relevant departments.
• Participate in payer audits, compliance checks, and internal reviews as needed.

Who You Are:

Education & Experience

• Must be based in the United States.
• High school diploma or equivalent required; associate degree or higher in healthcare administration, business, or a related field preferred.
• Minimum 2–3 years of experience in medical billing, AR follow-up, patient collections, and denial management.
• Strong working knowledge of Medicare, Medicaid, and commercial payer reimbursement guidelines.
• Prior experience in a health tech company or startup environment in a similar role is strongly preferred.

Skills & Competencies

• Solid understanding of the healthcare revenue cycle, claim adjudication, and denial resolution processes.
• Advanced knowledge of AR best practices and a proven ability to optimize the collections process.
• Proficiency in medical billing and EHR/EMR systems (e.g., Epic, Athenahealth, Kareo, or similar).
• Excellent analytical, organizational, and time management skills.
• Exceptional asynchronous communication skills, with an ability to convey complex information clearly in writing.
• Ability to learn and adapt to new software and technologies quickly.
• Ability to work independently in a remote or hybrid U.S.-based environment while managing multiple priorities and deadlines in a results-oriented, autonomous environment.

We make healthcare more equitable and accessible:

• Mission-driven organization focused on innovative digestive care
• Thrive on diversity with monthly DEIB discussions, activities, and more
• Virtual-first culture: Work from home anywhere in the US
• Live our core values: Own the outcome, Do the right thing, Be direct and open, Learn and improve, Team, Thrive on diversity

We take care of our people:

• Competitive compensation and meaningful equity
• Employer-sponsored medical, dental and vision plans
• Access to a “Life Concierge” through Overalls, because we know life happens
• Tailored professional development opportunities to learn and grow

We rest, recharge and re-energize:

• Unlimited paid time off — take what you need, when you need it
• 13 paid company holidays to power down
• Team events, such as virtual cooking classes, games, and more
• Recognition of professional and personal accomplishments

Oshi Health’s Core Values:
1.  Own the Outcome
2.  Do the Right Thing
3.  Be Direct & Open
4.  Learn & Improve
5.  TEAM - Together Everyone Achieves More
6.  Thrive on Diversity

Oshi Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

At Oshi, we determine salary ranges using market benchmarking and a geo-neutral compensation philosophy—your pay is based on the role and level, not your location.We believe in offering competitive compensation that reflects your unique skills, experience, and qualifications. While the salary range provided outlines the potential earning scope for this role, final offers are tailored to each candidate's expertise, contributions, and alignment with internal equity among peers in similar roles. Oshi utilizes the entire compensation range, and we expect candidates offered positions with our company to fall widely throughout the range.The candidate we hire may have more experience (or less) than what is outlined in this job description. If that’s the case, an updated level and salary range will be shared during the hiring process.

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.

Oshi Health’s policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com