Revenue Specialist (Remote)

Pay: $20.00 - $24.00 per hour (Dependent on experience) Contract Type: Indefinite Contract with potential for conversion Schedule: Monday – Friday, 40 hours/week (8 hours/day). Flexible start time between 5:00 AM and 9:00 AM local time. 

Role Overview

As a Revenue Specialist, you will play a pivotal role in driving our No Surprises Act (NSA) strategy. In this fast-paced administrative position, you will manage and triage a high volume of emails while serving as a key point of contact for CMS, payers, and third-party entities.

Because this role relies heavily on traditional revenue cycle collection functions, a foundational understanding of the Revenue Cycle Management (RCM) space and health insurance terminology is crucial to your success. If you have an investigative mindset, an eye for detail, and a desire to grow your RCM career, we want to hear from you!

Key Responsibilities

• Manage Communications: Efficiently process a high-volume email inflow for the NSA workstream, ensuring swift and accurate responses.

• Data Tracking: Meticulously track and update dispute statuses using Microsoft Excel.

• Arbitration Support: Analyze and interpret complex requests from arbitrators to provide clear, accurate, and timely responses.

• Problem Solving: Apply your deep knowledge of the NSA workstream to develop effective solutions to shifting payer and arbitrator behaviors.

• Compliance & Deadlines: Maintain a strong understanding of NSA principles to ensure strict adherence to all process deadlines.

• Portal Navigation: Utilize various payer portals to verify patient eligibility, obtain remittance advice, and check claim statuses.

What You Bring (Must-Haves)

• Proven experience in Revenue Cycle Management (RCM).

• Solid understanding of health insurance terminology and payer behaviors.

• Intermediate-level Microsoft Excel skills.

• The ability to thrive in a high-volume production environment where both speed and uncompromising accuracy are required.

• Exceptional communication skills, both written and verbal.

Soft Skills & Attributes

• Investigative Mindset: You enjoy digging into the details to find the right answer.

• High Attention to Detail: You rarely miss the small stuff, even when processing large amounts of data.

• Self-Starter: You are highly motivated, proactive, and capable of working independently in a remote environment.

• Eager to Learn: You have a strong willingness to learn, adapt, and grow alongside the team.

Nice-to-Haves (Bonus Points)

• Familiarity with CPT coding and specific payer portals.

• Prior administrative work experience.

• A strong, demonstrated desire to build a long-term career in revenue cycle operations.

Why Join Us?

• Work from Anywhere: We are a fully remote organization.

• Career Advancement: We offer clear growth opportunities and love to promote from within.

• Incredible Culture: We are highly intentional about fostering a strong, positive, and supportive culture that champions our teammates' goals for internal fulfillment and success.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.