FreshRemote.Work

Revenue Cycle Specialist

New York, New York, United States

Our mission: to eliminate every barrier to mental health. 

Spring Health is a comprehensive mental health solution for employers and health plans. Unlike any other solution, we use clinically validated technology called Precision Mental Healthcare to pinpoint and deliver exactly what will work for each person  — whether that’s meditation, coaching, therapy, medication, and beyond. 

Today, Spring Health equips over 800 companies, from start-ups to multinational Fortune 500 corporations, as a leading and preferred mental health service. Companies like J.P. Morgan Chase & Co., Microsoft, J.B. Hunt, Bumble, and Instacart use the Spring Health platform to provide mental health services to thousands of their team members globally. We have raised over $370 million from prominent investors including Kinnevik, Tiger Global, Northzone, RRE Ventures, and many more. Thanks to their partnership, our current valuation has reached $2.5 billion.

We are looking for a Revenue Cycle Specialist to join our team that will report directly to the Revenue Cycle Manager. The Revenue Cycle Specialist will be focused on the oversight of all aging revenue, payment posting, and overall cash collections. You will also be responsible for working with internal teams to inform and keep all aspects of the full revenue cycle up to date. 

What you'll be doing:

  • Responsible for full revenue cycle billing for medical claims to ensure proper reimbursement for services rendered.
  • Resolve issues with pending, rejected or denied insurance claims, through re-submissions and appeals driving in net collections.
  • Ensuring that all payment postings from various payers happen in an accurate and timely manner.
  • Communicating with patients regarding outstanding balances, questions about their bills, and setting up payment plans when necessary.  
  • Responsible for managing insurance A/R follow ups and resolution of all insurance claim billing errors.
  • Act as a liaison, when necessary, between internal and external partners to resolve claims and billing issues.
  • Identify trends or issues and initiate corrective action to improve revenue cycle management claim resolution rates.. 
  • Provide feedback and advice on product/technology/service improvements. 
  • Own ad hoc operational efficiency projects as needed by the Director of Health Plan Operations. 

Success as a Revenue Cycle Specialist can be defined by several key indicators:

  • Optimized Revenue Generation: 
  • Timely Billing and Reimbursements
  • Accuracy and Compliance
  • Reduced Accounts Receivable Days
  • Effective Communication
  • Continuous Improvement
  • Customer Satisfaction

What we expect from you:

  • High School diploma or GED required with at least two (2) years experience in the healthcare field in a similar position. …
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