Revenue Cycle Management Specialist (Part-Time)

Background:

FamilyWell Health is an AI-enabled mental health start-up dedicated to solving the women’s mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn practices. FamilyWell provides comprehensive virtual mental health services designed specifically for integration into OB/Gyn practices utilizing the psychiatric collaborative care model. FamilyWell’s virtual care team model delivers evidence-based coaching, therapy, care coordination, and psychiatric services with specialized expertise in perinatal mental health and perimenopause/menopause. Job Title: Revenue Cycle Management Specialist Industry: Healthcare Location: Remote Seniority Level: Entry-Level Employment Type: 1099, Part-Time

About the Role:

We are seeking a highly detail-oriented and motivated Revenue Cycle Management Specialist to join our healthcare team. This is a remote, entry-level position ideal for professionals with a strong foundation in insurance verification and medical billing, who are ready to contribute to a fast-paced and mission-driven environment. You will be responsible for ensuring timely and accurate claims processing and payment collections to support the financial operations of the organization.

Key Responsibilities:

• Perform insurance verification for patients, ensuring coverage accuracy and completeness.
• Follow up on unresolved insurance claims to secure timely payment.
• Make phone calls and utilize insurance portals to check claim statuses and resolve issues.
• Update plan IDs, correct payor or patient demographic and insurance information, and document actions taken in detailed account notes.
• Identify payor issues, trends, and re-coup problems; take action to resolve them efficiently.
• Request additional documentation (e.g., medical records, patient information) to support claims as needed.
• Follow up on patient balances as assigned.
• Collaborate with team members to ensure smooth revenue cycle operations.
• Maintain a high level of accuracy and organization in managing patient insurance records.
• Distraction free environment.

Maintain PHI compliance. Other administrative and billing tasks as assigned. Billing and Invoicing/Claims Ensure invoices and claims are properly documented, approved, and sent on schedule. Generate accurate and timely invoices for clients and partners. Provide member/insurance revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Payment Posting and Denials Management Financial Recordkeeping Collaborate on reconciling accounts and resolving discrepancies. Denial Management Timely follow up with health plan partners on outstanding claims Submission of corrected claims and appeals as applicable. Collections Generate member statements and work with members to collect and resolve past due balances. Reporting and Analysis Assist in generating regular reports on payment status and financial performance. Analyze data to identify trends and areas for improvement. Compliance and Documentation Ensure adherence to financial regulations and policies. Maintain accurate documentation of payment processes. Customer Success Provide empathetic and compassionate customer service to families who may be struggling to meet payment obligations. Resolve payment disputes or concerns professionally and courteously. Maintain open communication with providers, payers, and internal stakeholders to resolve insurance eligibility and benefits, as well as claims issues.

Qualifications:

High school diploma or equivalent required

• Minimum of 2 years of experience in a medical billing, insurance verification, or healthcare office environment.
• Knowledge of insurance coverage types, policies, and claims processes.
• Medical billing certification is a plus.
• Proficiency in Google suite, Microsoft Office and prior computer experience required.
• Experience using EMR/EHR systems and insurance portals.
• Strong multitasking, organizational, and time-management skills.
• Excellent verbal communication and documentation skills.
• Ability to analyze trends, identify root causes, and solve problems independently.
• Comfortable working remotely and independently with minimal supervision.

2+ years of experience as a revenue cycle specialist, payment coordinator, accounts receivable specialist, or a similar role required. 1+ years of behavioral health billing experience required. Excellent attention to detail and accuracy in data. Strong understanding of billing and invoicing processes. Highly independent, proactive, resilient, and empathetic.