Revenue Cycle Management Specialist

At Author Health, we’re 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 don’t 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 isn’t a checkbox. It’s how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient’s experience, and we’re creating a workplace where team members can show up as their full selves, too.
If you’re driven by purpose, ready to shake up the status quo, and eager to make a real impact on people’s lives, we’d love to meet you. Let’s 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 Bachelor's 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)