Total Life · 9 hours ago
Revenue Cycle Management (RCM) Specialist
United States
Full-time
Remote
Mid Level
$50K/yr - $70K/yr
3+ years expTotal Life is a behavioral health company dedicated to improving the quality of life for the elderly population. They are seeking a Revenue Cycle Management (RCM) Specialist who will be responsible for managing the patient financial lifecycle and ensuring seamless access to care for senior clients by overseeing the billing process and addressing any financial issues that may arise.
Elder CareElectronic Health Record (EHR)Health DiagnosticsInformation TechnologymHealthOutpatient CarePersonal HealthSoftwareWellness
Responsibilities
Perform accurate charge entry, claim submission, and payment posting to ensure timely revenue capture
Manage insurance eligibility verification and authorizations, specifically navigating the complexities of Medicare and supplemental plans
Identify, investigate, and resolve claim rejections and underpayments by filing effective appeals with U.S. insurance carriers
Monitor accounts receivable (A/R) aging reports, identify payment trends, and resolve outstanding balances
Handle billing inquiries from seniors and their families with empathy, providing clarity on account balances and payment plans
Maintain strict adherence to HIPAA, CMS billing requirements, and state/federal healthcare regulations
Generate and analyze reports on collections and denial rates to identify "revenue leaks" and suggest process improvements
Collaborate with clinical and operations teams to ensure sessions are documented correctly for billing
Qualification
Required
Minimum of 3-5 years of experience in medical billing or revenue cycle operations within the U.S. healthcare industry
Strong proficiency in Medicare (Parts A, B, C, and D), Medigap, and major commercial payers (e.g., Humana, UnitedHealthcare)
Solid working knowledge of CPT, ICD-10, and HCPCS coding methodologies
Experience navigating Electronic Health Records (EHR) and practice management systems (e.g., Healthy, Athena, or similar)
Exceptional attention to detail with the ability to reconcile accounts and solve complex billing discrepancies
Excellent verbal and written skills, with the ability to explain complex financial terms to a senior population
Benefits
Competitive compensation and benefits package
Premium Medical, Dental, and Vision insurance plans for you and your dependents
Company
Total Life
Total Life is rethinking aging making it easy for seniors on Medicare to access clinical wellness and mental fitness services online.
11-50 employees
Funding
Current Stage
Early StageTotal Funding
$1.5M2022-01-31Seed· $1.5M
Recent News
EIN Presswire
2025-10-17
2024-12-16
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