Remote Revenue Cycle Specialist - Medical Billing & Denials

Bravehealth; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Brave Health is seeking a detail-oriented Revenue Cycle Management Specialist to ensure accurate billing and timely claims submission across Commercial, Medicaid, and Medicare. This 100% remote role supports multiple states and collaborates with the Insurance Verification team to optimize cash flow.

You will handle denials, resubmissions, collections, and patient inquiries, leveraging expertise in healthcare coding and compliance to minimize denials and improve revenue cycle performance.

Qualifications

• High school diploma or GED.
• 3+ years of RCM experience with strong accounts receivable knowledge.
• Ability to analyze claims data to identify trends and mitigation opportunities.
• Experience in digital or virtual health environments.
• Proficiency with medical billing systems (e.g., Candid Health, Healthie).
• Extensive experience in healthcare accounts receivable and collections.
• Strong attention to detail and prioritization, with excellent communication skills.
• Knowledge of Medicaid, Medicare, and commercial billing requirements.
• HIPAA and regulatory compliance understanding.

Responsibilities

• Denial and Claims Management: identify trends, research unpaid or denied claims, and coordinate with payers; handle EDI transactions and payer submissions.
• Collections and Payment Resolution: perform collection activities per payer guidelines and document actions; review posted payments and post adjustments.
• Customer Support and Continuous Improvement: monitor patient accounts for non-payment and respond to billing inquiries; collaborate with teams to implement process improvements.

Skills

RCM experience

Claims data analysis

Digital health

Medical billing systems

Accounts receivable

Attention to detail

Communication skills

Customer service

HIPAA compliance

Medicaid/Medicare billing

Education

High School Diploma

Tools

Candid Health

Healthie

Job description

Brave Health is seeking a detail-oriented Revenue Cycle Management Specialist to ensure accurate billing and timely claims submission across Commercial, Medicaid, and Medicare. This 100% remote role supports multiple states and collaborates with the Insurance Verification team to optimize cash flow.

You will handle denials, resubmissions, collections, and patient inquiries, leveraging expertise in healthcare coding and compliance to minimize denials and improve revenue cycle performance.