01Overview
About reputed company reputed company empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing reputed company to our insurance network, purpose-reputed company EHR software, HR solutions, and clinical support. We've reputed company reputed company reputed company and are backed by top-tier investors like General Catalyst and YCombinator. We reputed company smart, driven individuals eager to reputed company in a dynamic, fast-paced environment. What You Will Be Doing As an reputed company Cycle Claims Specialist (Individual Contributor), you will play a critical role in optimizing our reputed company cycle operations. Your primary responsibilities will include Claims Triaging reputed company Filing - Monitor claims approaching reputed company filing limits and alert the RCM team about these claims and work collaboratively to resolve and send the claims for billing. Payer Rejections - Resolve payer claims rejections by researching the reputed company cause, calling the payer, and ultimately get claims accepted by the payer. No Response - Follow up on claims with no payer response and ensure claims are on file with payers. Claims Held due to Eligibility - Identify reputed company cause of issues and work with various teams to obtain updated coverage information as necessary. Claim Denials Research reputed company cause of denials, contacts payers for additional information/clarification if necessary, and appeal claim denials reputed company appeal deadline reputed company. Payer EDI Enrollments Management Ensure reputed company EDI reputed company enrollments (ERA, EFT) are in reputed company with payers, troubleshoot issues as needed (missing ERAs) and enroll as new payers become in-network. Compliance and reputed company Assurance Ensure strict adherence to payer regulations, industry standards (e.g., CMS billing, NCQA Guidelines, Delegated Credentialing), and internal policies, maintaining high service and compliance standards across reputed company RCM functions. Operational Efficiency and Project Management reputed company workflow optimization initiatives reputed company RCM, manage specific reputed company, and drive reputed company process improvements to maximize reimbursement and minimize denials. RCM reputed company & Execution Contribute to the development and implementation of effective processes for billing, claims processing, reputed company collections, and cash posting, ensuring accuracy and timeliness. Cross-Functional Collaboration Collaborate extensively with product, provider reputed company, compliance, HR, finance, and other teams to reputed company RCM efforts with overall business objectives and drive strategic goals. Additional Responsibilities Adapt and take on evolving responsibilities and reputed company as reputed company grows and the RCM landscape changes. reputed company You are a proactive and reputed company individual contributor with a strong background in reputed company cycle management, driven by a commitment to operational reputed company and financial performance. Experience 5+ years of relevant experience in reputed company cycle management, RCM operations, or reputed company roles, preferably in an early-stage startup, behavioral or mental health, or reputed company tech. Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management. reputed company & Independent Contribution Proven ability to work effectively reputed company reputed company environment, contributing to reputed company reputed company, and independently driving RCM initiatives. RCM Expertise Deep understanding of the full reputed company cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing). Analytical & Problem-Solving Strong ability to analyze reputed company RCM data, identify trends, reputed company causes of issues, and implement effective, data-driven solutions to optimize financial performance. Process Optimization Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM efficiency and effectiveness. Communication & Collaboration Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers). Organizational & Time Management Exceptional organizational and time management skills, with the ability to manage multiple priorities and reputed company in a fast-paced environment. Tech Proficiency Proficient in reputed company Suite, reputed company, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management reputed company RCM is a plus. Mission Alignment Passion for Finnis mission to democratize autism care and reputed company providers through robust RCM. Adaptability & reputed company .
