Overview
This role involves managing healthcare revenue cycle communications to ensure timely processing of insurance, patient, and internal correspondence supporting billing and reimbursement while maintaining regulatory compliance. The position is fully remote and reports to the Associate Director of Cash Posting and Correspondence.
Responsibilities
- Review, process, and respond to correspondence from payers, patients, and internal departments regarding billing, claims, and payment issues.
- Identify and route correspondence to appropriate teams or individuals for resolution.
- Document all correspondence actions and maintain accurate records in the revenue cycle management (RCM) system.
- Maintain up-to-date records of correspondence, actions taken, and outcomes in billing system platforms such as Smartsheet, Confluence, and SharePoint.
- Analyze correspondence for trends or recurring issues and escalate as needed.
- Communicate effectively with insurance companies, patients, and staff to clarify billing questions and resolve discrepancies.
- Ensure all correspondence is handled in compliance with HIPAA and other relevant regulations.
- Assist with appeals and follow-ups on denied claims based on correspondence received.
- Monitor and follow up on current and outstanding unresolved correspondence within established timelines.
- Support process improvement initiatives to enhance the efficiency of the correspondence workflow.
Requirements
- High school diploma or equivalent required; associate or bachelor’s degree in a related field preferred.
- 2-5 years of experience in healthcare revenue cycle management, medical billing, or insurance correspondence.
- Strong understanding of medical terminology, billing codes, and payer requirements.
- Excellent written and verbal communication skills.
- Proficient in Microsoft Office Suite and healthcare billing software.
- Detail-oriented with strong organizational and time management abilities.
- Ability to work independently and collaboratively in a fast-paced environment.
Compensation & Benefits
- Pay range: $35–$37 USD per hour.
- Paid Time Off (PTO).
- Health, dental, vision, and life insurance.
- 401(k) retirement savings plan.
- Employee stock purchase plan.
- Employee discounts.
- Voluntary benefits.
- Family support programs including expert assistance for family planning, pregnancy, and postpartum care.
- Up to 22 weeks of fully paid parental leave (U.S.).
- Up to $25,000 annually for fertility, adoption, or surrogacy expenses.
Location
This is a fully remote position requiring a home office or suitable remote location with reliable high-speed internet access. Standard work schedule and hours will be established in collaboration with leadership and may be adjusted based on business needs.