Remote Revenue Cycle Specialist
at Pomelo Care

Summary

Join our team at Pomelo Care, a fast-moving startup improving care for moms and babies. As a Revenue Cycle Specialist, you will be accountable for accurate and timely submission and reconciliation of claims.

Requirements

• 3+ years experience in revenue cycle support role
• Proficiency in using medical billing software and EHR systems
• Proficient in Microsoft Excel and/or Google Sheets
• Independent, critical thinker with meticulous attention to detail

Responsibilities

• Reviewing and submitting claims within payor guidelines to ensure timely and accurate filing
• Reporting on aging encounters, and partnering with clinicians to resolve them, ensuring compliance with internal best practices
• Resolving and appealing claims denials, and working with the Revenue Cycle Manager to improve workflows and optimize our claim submission process
• Reconciling ERAs by resolving holds, manually posting payments and adjudicating claims
• Collaborating with other teams to identify and update missing patient demographic and insurance data
• Proactively identifying opportunities and implementing processes to optimize efficiency and accuracy within the billing function
• Collaborating effectively within a team-oriented environment and demonstrating a proactive approach to managing small projects across various functions

Benefits

Competitive salary range ($25-$30 per hour)