Revenue Cycle Claims Specialist

Posted 5 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
50K-60K Annually
Junior
Healthtech • Professional Services • Pharmaceutical
NOCD helps people with OCD get better and then stay better.
The Role
Manage the full insurance claims lifecycle: verify eligibility, submit clean electronic claims, monitor and resolve rejections/denials, draft appeals, post and reconcile payments, handle member billing inquiries, and report RCM KPIs while maintaining HIPAA compliance and collaborating with clinical, finance, and member support teams.
Summary Generated by Built In

About NOCD

NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment. 
At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We’re changing the world and need other like-minded individuals to accelerate and expand our efforts.


Full-time, Remote | 9:00 AM – 5:30 PM CT, Monday–Friday


Position Overview

The Revenue Cycle Specialist is a critical role within NOCD’s Revenue Cycle Management

(RCM) team, responsible for managing the full insurance claims lifecycle—from eligibility

verification through payment posting and denial resolution. This role requires a strong foundation

in medical billing, insurance adjudication, and payer-specific guidelines, combined with a

commitment to providing an excellent member experience. You will work cross-functionally with

clinical, finance, and member support teams to ensure clean claim submission, timely

reimbursement, and accurate member billing.


Key Responsibilities

Insurance Verification & Eligibility

• Ability to verify member insurance eligibility and benefits prior to service, including

deductible, copay, coinsurance, and out-of-pocket maximums

Claims Submission & Management

• Submit clean claims electronically via EHR and clearinghouse platforms in compliance

with payer-specific requirements

• Ensure accurate coding of CPT, ICD-10, and modifier codes for behavioral health and

telehealth services

• Monitor claim status through payer portals and clearinghouses; identify and resolve

rejections prior to adjudication

• Manage claims across multiple payers


Denial Management & Appeals

• Review and work denial queues daily

• Draft and submit clinical and administrative appeals with supporting documentation

• Track appeal outcomes and escalate payer trends to leadership for contract and process

improvements


Payment Posting & Reconciliation

• Post insurance EOBs and ERAs accurately to patient accounts; reconcile payments

against expected reimbursements

• Identify and resolve underpayments, overpayments, and contractual adjustments in

accordance with payer contracts

• Process member refunds and balance transfers as appropriate


Member Billing & Support

• Respond to member billing inquiries via phone, email, and chat with accuracy and

empathy

• Explain EOBs, member responsibility amounts, and payment options clearly

• Resolve billing disputes, identify errors, and apply corrections with appropriate

documentation in the CRM and EHR


Reporting & Compliance

• Maintain accurate records of all claims activity, member interactions, and billing

adjustments

• Adhere to HIPAA guidelines and company compliance standards in all communications

and data handling

• Report KPIs including denial rates, days in A/R, clean claim rates, and collection rates to

manager on a regular cadence


Qualifications

Required

• 2+ years of experience in medical billing, revenue cycle, or insurance claims processing

• Working knowledge of the full claims lifecycle: eligibility verification, claims submission,

denial management, appeals, and payment posting

• Proficiency reading and interpreting Explanations of Benefits (EOBs) and Electronic

Remittance Advices (ERAs)

• Solid understanding of insurance terminology: deductible, copay, coinsurance, prior

authorization, coordination of benefits, and timely filing

• Experience with CPT and ICD-10 coding for behavioral health or telehealth services

• Familiarity with clearinghouse platforms and EHR systems

• Strong attention to detail, analytical thinking, and ability to manage high-volume work

queues

• Excellent written and verbal communication skills; ability to explain billing clearly to

members


Preferred

• Experience in behavioral health, mental health, or telehealth billing

• Familiarity with Medicaid and Medicare billing requirements

• Experience working denials and drafting payer appeals

• Bachelor’s degree in healthcare administration, business, or related field

• CPC, CPMA, or equivalent billing/coding certification

Note: Role responsibilities are subject to change based on business needs. A flexible, “floater” mentality

is valued on this team.

What We Offer

  • Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match
  • 11 observed company holidays a year
  • PTO based on an accrual system
  • Engaging startup environment with an outstanding mission-driven team atmosphere
  • Downtown Chicago office with an on-site gym
  • Noto provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.


Pay Transparency

The expected pay range for this position is $50,000 to $60,000. Actual pay will be based on the individual’s qualifications and experience. This role is also eligible for annual performance-based incentives tied to individual achievement and company-wide goals

Skills Required

  • 2+ years of experience in medical billing, revenue cycle, or insurance claims processing
  • Working knowledge of the full claims lifecycle: eligibility verification, claims submission, denial management, appeals, and payment posting
  • Proficiency reading and interpreting Explanations of Benefits (EOBs) and Electronic Remittance Advices (ERAs)
  • Solid understanding of insurance terminology: deductible, copay, coinsurance, prior authorization, coordination of benefits, timely filing
  • Experience with CPT and ICD-10 coding for behavioral health or telehealth services
  • Familiarity with clearinghouse platforms and EHR systems
  • Strong attention to detail, analytical thinking, and ability to manage high-volume work queues
  • Excellent written and verbal communication skills; ability to explain billing clearly to members
  • Experience in behavioral health, mental health, or telehealth billing
  • Familiarity with Medicaid and Medicare billing requirements
  • Experience working denials and drafting payer appeals
  • Bachelor's degree in healthcare administration, business, or related field
  • CPC, CPMA, or equivalent billing/coding certification
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The Company
HQ: Chicago, IL
100 Employees
Year Founded: 2015

What We Do

NOCD provides online therapy for obsessive-compulsive disorder (OCD), one of the most severe, prevalent, and misunderstood mental health conditions. Inside the NOCD telehealth platform, people with can-do live, face-to-face video therapy sessions with licensed therapists that specialize in OCD, as well as get 24/7 support between sessions.

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