Why We're Here:
At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don’t accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.
Overview:
Under the direction of the Supervisor of Revenue Cycle Management, the Revenue Cycle Management (RCM) Specialist is responsible for ensuring accurate billing and the timely submission of electronic and paper claims. This role includes monitoring claim status, researching and resolving denials or rejections, documenting account activities, and posting adjustments and collections. The RCM Specialist must demonstrate strong critical thinking skills and possess in-depth knowledge of Commercial, Medicaid, and Medicare eligibility requirements and contract guidelines.
Key Responsibilities:
Denial and Claims Management:
Identify and analyze denial trends, using findings to suggest process and system improvements to prevent future issues
Research and resolve unpaid, denied, and rejected claims, including communication with payers and submitting denials as needed
Handle EDI transactions, including reconciliation of payer submissions, edits, and rejection reports
Partner closely with the Insurance Verification team to identify upstream impacts on claim processing
Collaborate effectively with team members and other departments to support organization goals and implement process improvements
Collections and Payment Resolution:
Complete collection activities in compliance with payer guidelines and filing limits, ensuring actions are thoroughly documented
Review posted payments and process account adjustments as appropriate
Customer Support and Continuous Improvement:
Monitor patient accounts for non-payment, delayed payment, and billing irregularities, maintaining accurate records and taking appropriate steps for resolution
Investigate and respond to patient billing inquiries
Competencies, Skills & Experience Required:
High school diploma or GED
3+ years of RCM experience, with a strong preference for familiarity with accounts receivable processes
Ability to analyze claims data to spot trends and suggest mitigation strategies
A history of working in digital or virtual health
Use of medical billing systems (i.e. Candid Health, Healthie)
Extensive experience in healthcare accounts receivable and collections
Strong attention to detail with a focus on accuracy and prioritization
Excellent oral and written communication skills across internal and external stakeholders
Proven customer service abilities in resolving patient and payer inquiries
Working knowledge of medical coding principles, denials, and payer-specific requirements
Ability to thrive in a fast-paced, high-volume environment
Commitment to adhering to HIPAA and regulatory compliance guidelines
In-depth understanding of Medicaid, Medicare, and commercial insurance billing processes
Preferred Skills:
A background in mental or behavioral health billing
Fluent in Spanish
Proficient in Microsoft Excel and Word
Work Schedule: This is a full-time, 100% remote position. Applicants hired into this position can work from most states and will work Monday - Friday.
Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.
Skills Required
- High school diploma or GED
- 3+ years of revenue cycle management experience
- Familiarity with accounts receivable processes
- Experience analyzing claims data, identifying trends, and suggesting mitigation strategies
- Experience working in digital or virtual health
- Experience using medical billing systems such as Candid Health or Healthie
- Extensive healthcare accounts receivable and collections experience
- Strong attention to detail, accuracy, and prioritization
- Excellent oral and written communication skills
- Proven customer service skills resolving patient and payer inquiries
- Working knowledge of medical coding principles, denials, and payer-specific requirements
- Ability to work in a fast-paced, high-volume environment
- Commitment to HIPAA and regulatory compliance
- In-depth understanding of Medicaid, Medicare, and commercial insurance billing processes
- Background in mental or behavioral health billing
- Fluent in Spanish
- Proficiency in Microsoft Excel and Word
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What We Do
If you struggle with transportation or scheduling barriers, at Brave Health we bring the convenience of telehealth to treat mental health and addiction. Through video sessions you can access on via smartphone, tablet, or computer, our counseling and psychiatry services are available from the convenience of your home. Our trained therapists, counselors, and psychiatric providers offer therapy, medication management for psychiatric conditions, as well as medication assisted treatment with Suboxone and other buprenorphine alternatives. We can help individuals and families looking for support with addiction and mental health. Through telehealth, we can treat patients anywhere in Florida. Insurance accepted, including Medicaid and Medicare.
