Remote RCM Specialist: Medicaid & Medicare Billing

Brave Health; Florida; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Brave Health is seeking a Revenue Cycle Management Specialist to ensure accurate billing, timely submission of electronic and paper claims, and posting of adjustments and collections. The role requires deep knowledge of Commercial, Medicaid, and Medicare eligibility and contract guidelines, plus strong analytical thinking and HIPAA compliance.

You will identify denial trends, research unpaid or denied claims, handle EDI transactions, and work with the Insurance Verification team to minimize

Qualifications

• 3+ years of RCM experience, with familiarity in accounts receivable.
• Knowledge of Medicaid, Medicare, and commercial insurance billing.
• Experience in digital or virtual health and HIPAA compliance.
• Strong analytical and communication skills.

Responsibilities

• Identify and analyze denial trends to drive process improvements.
• Research and resolve unpaid or denied claims with payers.
• Handle EDI submissions and reconciliation.
• Collaborate with Insurance Verification to address upstream issues.
• Monitor accounts for non-payment and respond to patient inquiries.
• Document activities and post adjustments and collections.

Skills

RCM experience

Claims data analysis

HIPAA compliance

Medicaid/Medicare knowledge

Customer service

Denials management

Education

High school diploma or GED

Tools

Candid Health

Healthie

Microsoft Excel

Microsoft Word

Job description

Brave Health is seeking a Revenue Cycle Management Specialist to ensure accurate billing, timely submission of electronic and paper claims, and posting of adjustments and collections. The role requires deep knowledge of Commercial, Medicaid, and Medicare eligibility and contract guidelines, plus strong analytical thinking and HIPAA compliance.

You will identify denial trends, research unpaid or denied claims, handle EDI transactions, and work with the Insurance Verification team to minimize