Revenue Cycle Specialist

1 month ago

Remote, Oregon, United States Equip Full time

About Equip

Equip is the leading virtual, evidence-based eating disorder treatment program on a mission to ensure that everyone with an eating disorder can access treatment that works. Created by clinical experts in the field and people with lived experience, Equip builds upon evidence-based treatments to empower individuals to reach lasting recovery. All Equip patients receive a dedicated care team, including a therapist, dietitian, physician, and peer and family mentor. The company operates in all 50 states and is partnered with most major health insurance plans. Learn more about our strong outcomes and treatment approach at

Founded in 2019, Equip has been a fully virtual company since its inception and is proud of the highly-engaged, passionate, and diverse Equisters that have created Equip's culture. Recognized by Time as one of the most influential companies of 2023, along with awards from LinkedIn and Lattice, we are grateful to Equipsters for building a sustainable treatment program that has served thousands of patients and families.

About the role The Revenue Cycle Specialist will be responsible for understanding the claim entry and submission process, completing the charge entry of patient registration for invoicing and claim submission, as well as assisting in claim resolution, exceptions, and unbilled charges. This role requires a motivated and energetic individual who can help lead the charge entry process effectively, collaborate with cross-functional teams, and help drive operational excellence within the revenue cycle. The Revenue Cycle Specialist will be instrumental in leveraging technology and process improvements to achieve organizational goals efficiently.

The Revenue Cycle Specialist will be comfortable working in a fast-paced startup environment, solving problems independently, and navigating ambiguity as data systems and processes evolve.

Responsibilities

  • Complete charge entry and claim management, working A/R and denial follow-up as needed
  • Execute the integration of an AI platform related to the charge entry process; formalize and ensure proper workflow documentation
  • Process payor refunds submitted by the billing team, ensuring accurate and timely submission to management
  • Help maintain an organized and cohesive process for all aspects of claims submissions, resubmissions, rejections, and denials
  • Proactively communicate issues, trends, and improvements in charge entry and A/R denial management promptly and effectively
  • Develop A/R reporting and provide assistance with unbilled AR reconciliation to ensure charges are submitted timely
  • Provide quick and effective follow up on claim submission status and mitigating submission errors and system configuration issues
  • Ensure accurate management of patient accounts, financial records, and claims processes
  • Work closely with the revenue cycle team to ensure accurate patient accounting, statement management, payment posting, and charge reconciliation
  • Perform additional duties as assigned, contributing to the continuous improvement and success of the revenue cycle department.

Qualifications

  • 2-4 years experience in healthcare revenue cycle, and/or patient accounting
  • Medical billing, coding, and/or health insurance experience with specific experience with CMS 1500 claims, UB and invoicing preferred
  • Strong skills in documentation, communication and collaboration with diverse teams
  • Must be able to think analytically with strong data entry skills
  • Strong organizational skills
  • Comfortable in a fast-paced environment, subject to rapid change and innovation
  • Microsoft Office and Google Suite experience
  • Strong attention to detail

At Equip, diversity, equity, inclusion and belonging are woven into everything we do. At the heart of Equip's mission is a relentless dedication to making sure that everyone with an eating disorder has access to care that works regardless of race, gender, sexuality, ability, weight, socio-economic status, and any marginalized identity.

As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability, and/or any other legally protected classification protected by federal, state, or local law.

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