[Hiring] Revenue Cycle Specialist @Pomelo Care

Role Description

In this role, you will be accountable for the accurate and timely submission and reconciliation of claims for the Pomelo medical practice including:

• Reviewing and submitting claims within payor guidelines to ensure timely and accurate filing
• Reporting on aging encounters, and partnering with clinicians to resolve them, ensuring compliance with internal best practices
• Resolving and appealing claims denials, and working with the Revenue Cycle Manager to improve workflows and optimize our claim submission process
• Reconciling ERAs by resolving holds, manually posting payments and adjudicating claims
• Collaborating with other teams to identify and update missing patient demographic and insurance data
• Proactively identifying opportunities and implementing processes to optimize efficiency and accuracy within the billing function
• Collaborating effectively within a team-oriented environment and demonstrating a proactive approach to managing small projects across various functions

Qualifications

• 3+ years experience in revenue cycle support role
• Proficiency in using medical billing software and EHR systems
• Proficient in Microsoft Excel and/or Google Sheets
• Independent, critical thinker with meticulous attention to detail
• Demonstrate proficiency in navigating multiple systems and workflows while maintaining adaptability in a rapidly changing environment

Benefits

• Competitive salary range of $55,000–$65,000
• Equity options
• Comprehensive benefits package
• Opportunities for personal and professional growth

Potential Fraud Warning

Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information.

Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com.

If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at [email protected] to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.