Revenue Cycle Specialist

Revenue Cycle Specialist

Do you thrive in a rapidly evolving, fast-paced environment requiring creativity, resourcefulness, high energy and an ability to adapt quickly?

Are you passionate about healthcare and looking to create a revolutionary new approach to digestive healthcare with a radically better patient experience?

If so, you could be a perfect fit for our team of professionals who share a mission to eliminate the impact of digestive health conditions through redesigned GI care that patients love

The Role

As a Revenue Cycle Specialist, you will be responsible for the smooth and efficient billing and processing of claims with our health plan partners and patients. You will work closely with our Senior Revenue Cycle Manager to manage billing and invoicing for services and maintain accurate financial records.  Your attention to detail, excellent organizational skills, and commitment to customer access will contribute to the financial stability and success of Oshi as we pioneer the way in GI care.

What you’ll do:

Billing:

• Claims creation, review, submission, and transmission.
• Provide patient/insurance revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Payment Posting and Denials Management

Financial Record keeping:

• Maintain organized financial records, including invoices and bills.
• Collaborate on reconciling accounts and resolving discrepancies.

Denial Management:

• Timely follow up with health plan partners on outstanding claims
• Submission of corrected claims and appeals as applicable.

Collections:

• Generate member statements and work with members to collect and resolve past due balances.

Reporting and Analysis:

• Assist in generating regular reports on payment status and financial performance.
• Analyze data to identify trends and areas for improvement.

Compliance and Documentation:

• Ensure adherence to financial regulations and policies.
• Maintain accurate documentation of payment processes.

Customer Success:

• Provide empathetic and compassionate customer service to patients who may be struggling to meet payment obligations.
• Resolve payment disputes or concerns professionally and courteously.
• Communicate professionally with customers about Oshi’s billing model, policies, procedures, and healthcare rules and regulations.
• Maintain open communication with providers, payers, and internal stakeholders to resolve claims issues.

Who You Are

• 2+ years of experience as a revenue cycle specialist, billing specialist, accounts receivable specialist, or a similar role required.
• 2+ years of experience working payer and patient collections required.
• 1+ years of experience working with AthenaHealth preferred.
• 1+ years of experience working in digital health preferred.
• Excellent attention to detail and accuracy in numerical data.
• Strong organizational and time management skills to handle multiple tasks and deadlines effectively.
• Strong understanding of billing and invoicing processes.
• Excellent communication and interpersonal skills.
• Sound knowledge of health insurance payers, payer portals, and communicating with payers
• Knowledge of relevant health care or financial regulations and compliance requirements.
• Prior experience in the healthcare or mental health industry is a plus.
• Highly independent, proactive, resilient, and empathetic.

We make healthcare more equitable and accessible:

• Mission-driven organization focused on innovative digestive care
• Thrive on diversity with monthly DEIB discussions, activities, and more
• Virtual-first culture: Work from home anywhere in the US
• Live our core values: Own the outcome, Do the right thing, Be direct and open, Learn and improve, Team, Thrive on diversity

We take care of our people:

• Competitive compensation and meaningful equity
• Employer-sponsored medical, dental and vision plans
• Access to a “Life Concierge” through Overalls, because we know life happens
• Tailored professional development opportunities to learn and grow

We rest, recharge and re-energize:

• Unlimited paid time off — take what you need, when you need it
• 13 paid company holidays to power down
• Team events, such as virtual cooking classes, games, and more
• Recognition of professional and personal accomplishments

Oshi Health’s Core Values:
1.  Own the Outcome
2.  Do the Right Thing
3.  Be Direct & Open
4.  Learn & Improve
5.  TEAM - Together Everyone Achieves More
6.  Thrive on Diversity
Oshi Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

At Oshi, we determine salary ranges using market benchmarking and a geo-neutral compensation philosophy—your pay is based on the role and level, not your location.We believe in offering competitive compensation that reflects your unique skills, experience, and qualifications. While the salary range provided outlines the potential earning scope for this role, final offers are tailored to each candidate's expertise, contributions, and alignment with internal equity among peers in similar roles. Oshi utilizes the entire compensation range, and we expect candidates offered positions with our company to fall widely throughout the range.The candidate we hire may have more experience (or less) than what is outlined in this job description. If that’s the case, an updated level and salary range will be shared during the hiring process.