Revenue Cycle Management Specialist

At Author Health were revolutionizing how mental health care is delivered and we want you to be part of it! Our mission is to bring compassionate high-quality care to people with serious mental illness substance use disorders and dementia including older adults. We dont just treat symptoms. We treat people fully holistically and with heart! Through our virtual first innovative care model we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric psychotherapeutic and care management services. We partner with primary care providers hospitals families and caregivers to keep patients out of the hospital and empower them to live healthier more connected lives.
At Author inclusivity isnt a checkbox. Its how we build trust and drive better outcomes! We honor the unique cultures identities and stories that shape every patients experience and were creating a workplace where team members can show up as their full selves too.
If youre driven by purpose ready to shake up the status quo and eager to make a real impact on peoples lives wed love to meet you. Lets build the future of mental health care together!

Position Overview: The position is responsible for managing the end-to-end medical billing process and ensures accurate timely reimbursement while maintaining compliance with payer and HIPAA requirements and supporting revenue cycle performance.

Roles and Responsibilities:
o Manage incoming patient inquiries resolve billing and statement questions and securely process point-of-sale payments.
o Conduct outbound patient outreach to explain complex statement details.
o Verify patient insurance eligibility coverage limits and out-of-pocket responsibilities utilizing designated payer portals.
o Monitor payer portals to track real-time claim status respond to inquiries and identify or escalate systemic transmission errors.
o Work Accounts Receivable (AR) aging reports to reduce outstanding days and minimize aging buckets past 90 days via persistent follow-up.
o Execute end-to-end denial management including root-cause analysis corrective resubmissions and appeal tracking.
o Post insurance and patient payments from Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs).
o Reconcile daily payment remittances against internal bank deposits to guarantee absolute ledger accuracy.
o Apply contractual adjustments and authorized write-offs and issue verified provider or patient refunds per compliance guidelines.
o Prepare and submit clean claims across multiple healthcare payers.
o Ensure coding accuracy by verifying CPT ICD-10 and modifier application in strict accordance with regulatory guidelines

Required Qualifications:
o Bachelors degree in any field; a healthcare-related degree is an advantage.
o 2 years of experience with U.S. medical billing or revenue cycle working knowledge of ICD-10 / CPT and the full claims lifecycle
o Professional billing or coding certification (e.g. CPC CPB or CCA) and prior early-stage or multi state experience are an advantage.
o Experience with a practice management system / EHR and clearinghouses familiarity with HIPAA compliance
o Amenable to work Monday to Friday on U.S. business hours
o Willing to work in a hybrid setup with required onsite days at our Makati office.
Attributes:
o Excellent communication (verbal written and presentation) and interpersonal skills are essential.
o Has strong organizational analytical and problem-solving skills while managing multiple priorities in a fast-paced evolving organization.
o Comfortable with electronic communication such as email and Slack (similar to MS Teams)

All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity sexual orientation national origin ethnicity age disability marital status or any other characteristic protected by law.

Genfinity as an Equal Opportunity Employer believes in each persons potential and well help you achieve yours.

All information will be kept confidential according to EEO guidelines.

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