Revenue Cycle Claims Specialist - Remote

Overview

The Revenue Cycle Claims Specialist plays a critical role in optimizing revenue cycle operations at Finni Health, focusing on claims triaging, denial management, and compliance.

In Short

• Monitor claims for timely filing and resolve payer rejections.
• Follow up on claims with no payer response and ensure claims are on file.
• Research and appeal claim denials within deadlines.
• Manage EDI enrollments and troubleshoot issues.
• Ensure compliance with payer regulations and industry standards.
• Lead workflow optimization initiatives within RCM.
• Contribute to effective processes for billing and claims processing.
• Collaborate with various teams to align RCM efforts with business objectives.
• Adapt to evolving responsibilities as the company grows.
• Drive continuous process improvements to maximize reimbursement.

Requirements

• 5+ years of relevant experience in revenue cycle management.
• Proven ability to work collaboratively and independently.
• Deep understanding of the full revenue cycle processes.
• Strong analytical skills to analyze RCM data and implement solutions.
• Expertise in process optimization for RCM efficiency.
• Excellent communication skills for collaboration with stakeholders.
• Exceptional organizational and time management skills.
• Proficient in Google Suite, Slack, and RCM management tools.
• Passion for the mission of democratizing autism care.
• Comfortable in a dynamic startup environment.

Benefits

• Opportunity to make a significant impact in a growing healthcare startup.
• Collaborative and innovative work environment.
• Access to cutting-edge technology and tools.
• Support for professional development and growth.
• Engagement in meaningful work aligned with mission-driven goals.