Remote Revenue Cycle Specialist — Claims & Denials Wizard

Foodsmart; Oregon; Hybrid; USD 50,000 - 65,000; Full time

Benefits offered by this job

Remote-First Company

Unlimited PTO

Flexible & remote location

Healthcare Coverage (Medical, Dental,

Job summary

Foodsmart is seeking a Revenue Cycle Specialist to join the Revenue Cycle Operations team. You will submit and track claims, resolve denials, and collaborate with finance, product, and engineering to improve billing processes.

This role focuses on timely reimbursements and data-driven problem solving in a remote, USA-based environment. You have 1–3 years in medical billing, familiarity with CMS-1500/837, and solid Excel and Google Suite skills.

Qualifications

• 1–3 years of experience in medical billing, claims submission, or denials management.
• Working knowledge of claim lifecycle basics (CMS-1500/837 claims, CPT/ICD-10 coding, EOBs/ERAs, common denial reason codes).
• Comfort with Google Suite and Excel (sorting, filtering, and ideally pivot tables and VLOOKUPs).
• Strong written and verbal communication skills, ideally also with comfort working with health plans to resolve payment issues.

Responsibilities

• Process and submit claims: Prepare and submit claims to health plans accurately and on time, and keep the work moving through the billing cycle.
• Work denials and rejections: Research denied and rejected claims, identify the root cause, make corrections, and resubmit. Flag recurring patterns to the team so we can fix issues at the source.
• Follow up on reimbursement: Monitor claim status, follow up with health plans and RCM partners, and help resolve payment issues.
• Support reporting and month-end close: Help prepare claims and billing reports, and keep documentation clean and up to date.
• Take on ad hoc projects: Jump in on investigations, one-off cleanups, and special projects as they arise.
• Partner across teams: Work with finance, product, and engineering to share what you're seeing in the data and in day-to-day claims, and help test and give feedback on process or system improvements.
• Support the patient and health plan experience: Help with billing communications and questions so patients and health plans have a smooth experience.

Skills

Clear communication

Analytical

Attention to detail

Team player

Tools

Candid

Google Sheets

Job description

Foodsmart is seeking a Revenue Cycle Specialist to join the Revenue Cycle Operations team. You will submit and track claims, resolve denials, and collaborate with finance, product, and engineering to improve billing processes.

This role focuses on timely reimbursements and data-driven problem solving in a remote, USA-based environment. You have 1–3 years in medical billing, familiarity with CMS-1500/837, and solid Excel and Google Suite skills.