Revenue Cycle Specialist

Vision

Whole Woman’s Health transforms how people experience abortion care in this country. We stand in the light, fiercely dedicated to providing fabulous abortion care that puts patients first.

Mission

Whole Woman’s Health provides fabulous abortion care, free from the shame and stigma that often accompanies sexual health in this country. Our patients can count on us for medical expertise, heartfelt compassion, informed consent, and trust. We are deeply committed to growth and innovation, and we cultivate a dynamic, rigorous, learning corporate culture. Our patients’ hopes and dreams are at the center of all we do, and we hold ourselves accountable to them.

Summary

We are seeking a detail-oriented and experienced Revenue Cycle Specialist to join our healthcare team. The primary responsibility of this role is overseeing the financial transactions of patient accounts, ensuring accurate billing, coding, and collections. This role involves working closely with our Revenue Cycle Management company, clinics, healthcare providers, insurance companies, and patients to optimize revenue and reduce outstanding balances.

This is a remote position, but you must reside in one of the following states for consideration: VA, MN, NM

Essential functions

• Provide exceptional customer service when interacting with patients and payers.
• Review and verify patient billing information for accuracy and completeness.
• Submit required medical necessity forms to multiple Medicaid offices.
• Follow up on claim denials or rejections.
• Ensure proper coding of diagnoses and procedures in compliance with industry regulations (e.g., CPT, ICD-10, HCPCS).
• Reconcile accounts and resolve discrepancies in billing and payments.
• Coordinate with healthcare providers, patients, and insurance representatives to resolve billing issues.
• Assist with insurance verifications and obtaining authorizations.
• Maintain compliance with federal, state, and payer regulations regarding medical billing and reimbursement.
• Monitor accounts receivable (A/R) and take action to expedite collections.
• Stay updated on changes in healthcare billing, insurance policies, and coding regulations.

Experience and General Requirements

• High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, business, or related field preferred.
• 5 years of experience in medical billing, coding, or revenue cycle management.
• Knowledge of insurance claims processing, reimbursement methodologies, and healthcare regulations.
• Proficiency in medical billing software and electronic health record (EHR) systems.
• Strong analytical and problem-solving skills.
• Excellent communication and customer service abilities.
• Ability to work independently and collaboratively in a team environment.

Physical & Remote Requirements

• Must possess the ability and capability to perform any task in the office. 
• Must have excellent visual and hearing acuity.
• Must be able to cope with the reduced social interaction and contact.
• Must be self-disciplined and not be distracted from working, be able to complete the expected working hours, and be able to work without direct supervision.
• Must be able to arrange their family or other commitments to facilitate a suitable working regime and environment.
• Must have good communication skills including written and verbal reporting.
• Where necessary, must be willing and able to use new or different communications and IT equipment.

Compensation/Benefits

• A competitive salary, commensurate with experience, plus potential performance-based bonuses.
• Eligible to enroll in medical, dental, and vision insurance offerings, as well as voluntary life and disability insurance.
• 401(k) plan with a 3% company match.
• Two weeks starting paid personal time off, increasing with tenure, plus seven paid holidays.
• Flexible work hours and family support programs
• Employee Assistance Program (EAP), offering 24/7 counseling, travel assistance, medical bill advocacy, life planning, and legal resources.
• Basic Term Life and AD&D Insurance with $25,000 in coverage.
• Additional perks, including employee discounts, and virtual team-building activities.
• Company laptop and cell phone provided by employer.
• A corporate culture/environment that is diverse, stimulating, and comprised of passionate and dedicated people.

Please note that this is a working job description that may evolve as the needs of the company change.

Whole Woman’s Health is an Equal Opportunity Employer, and we welcome applications from women, people of color, and members of the LBGTQIA community. We do not discriminate on the basis of actual or perceived race, creed, color, alienage or national origin, ancestry, citizenship status, religion or belief, age, marital or partnership status, family status, pregnancy and maternity, disability or handicap, sexual orientation, gender, gender identity, gender reassignment, predisposing genetic characteristic, military or veteran status, arrest record, or any other legally protected characteristic protected by applicable federal, state, or local laws.