Revenue Cycle Specialist

Revenue Cycle Specialist @ Midi Health: 👩‍⚕️💻

Join Midi Health, a pioneering company on a mission to bring compassionate, high-quality healthcare to women 40+! We focus on the unique health challenges faced by women in midlife and provide virtual care for perimenopause, menopause, and other common health needs.The Revenue Cycle Specialist plays a critical role in supporting and optimizing end-to-end revenue cycle operations, from eligibility and benefits verification through claims resolution, patient financial support, and accounts receivable management. This role goes beyond traditional billing to encompass payer interaction, patient advocacy, compliance, and continuous process improvement within a fast-growing telehealth environment. The ideal candidate brings strong analytical thinking, communication skills, and revenue cycle expertise, with the ability to partner across clinical, finance, customer experience, and operations teams to ensure accurate reimbursement and a positive patient financial experience.

Responsibilities:

• Manage and troubleshoot medical claims for telehealth services using the Athena platform, ensuring compliance with internal coding guidelines, payer requirements, and regulatory standards.
• Own assigned components of the revenue cycle claims follow-up, denial resolution, patient support, and patient accounts receivable (AR).
• Support patients in understanding financial responsibility, billing statements, and available payment options.
• Respond to billing-related inquiries through Zendesk or similar platforms in a timely, professional, and empathetic manner.
• Communicate directly with insurance payers and third-party vendors to resolve billing and coding issues, appeal denials, and negotiate payment outcomes.
• Participate in regular audits and reviews of billing data to identify errors, trends, and opportunities for revenue cycle improvement.
• Adhere to key Service Level Agreements (SLA’s) related to patient support, claim holds, and resolution timelines.
• Contribute to cross-functional initiatives aimed at improving RCM workflows, patient experience, and system efficiency.
• Support the implementation of new tools, technology enhancements, and process improvements as the organization scales.
• Identify, research, and resolve credit balances, overpayments, and refund requests in accordance with payer contracts and internal policies.
• Support special projects related to claims, patient support, internal tools, and/or partnerships
• Identify root causes and recommend corrective actions to reduce future denials.
• Collaborate cross-functionally to resolve non-standard revenue cycle issues.
• Monitor, review, and respond to payer and patient correspondence within billing systems (including Athena correspondence dashboards) to ensure timely resolution of revenue cycle issues.

Qualifications:

• 2–3+ years of experience in medical billing and revenue cycle operations, preferably in a telehealth or high-growth healthcare environment.
• 2–3+ years of experience managing patient and insurance accounts receivable.
• Hands-on experience using billing platforms such as Athena, including claims troubleshooting and patient support
• Strong understanding of healthcare reimbursement methodologies and coding guidelines (CPT, ICD-10, HCPCS).
• Experience working remotely in a fast-paced, deadline-driven environment.
• Excellent written and verbal communication skills with a strong customer service mindset.
• Strong organizational skills with the ability to manage multiple priorities independently

Hours: Monday through Friday, 8AM - 4:30PM PST

Who you are:

You are a detail-oriented revenue cycle professional who understands that billing is only one part of the patient's financial journey. You are comfortable navigating payer rules, root causing complex claims issues, and supporting patients with empathy and clarity. You thrive in a collaborative, remote environment and bring a mindset of ownership, accountability, and continuous improvement to your work.

What we offer:

• 100% remote opportunity, Midi laptop provided
• $25-27 hour, non-exempt, 40 hour work week
• Paid time off
• Paid holidays
• Medical, Dental, Vision Benefits; 401K option after 90 days of service

The interview process will include: 📚

Recruiter interview with Meg Braxton (30 min Zoom)

Interview with Andres Delgado, Senior Manager, Revenue Cycle Operations & Ana Benavente, Manager of Revenue Cycle Operations (30 min Zoom)

Interview with Cate Daczyk, Director of Revenue Cycle Operations (30 min Zoom)

#LI-MB1