Revenue Cycle Management Specialist

About us

LifeMD is a leading digital healthcare company committed to expanding access to virtual care, pharmacy services, and diagnostics by making them more affordable and convenient for all. Focused on both treatment and prevention, our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.

To support our expanding patient base, LifeMD leverages a vertically-integrated, proprietary digital care platform, a 50-state affiliated medical group, a 22,500-square-foot affiliated pharmacy, and a U.S.-based patient care center. Our company — with offices in New York City; Greenville, SC; and Huntington Beach, CA — is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts, we're united by a shared mission to revolutionize healthcare. Employees enjoy a collaborative and inclusive work environment, hybrid work culture, and numerous opportunities for growth. Want your work to matter? Join us in building a future of accessible, innovative, and compassionate care.

About the role

The Revenue Cycle Management Specialist will be responsible for the day-to-day monitoring of billing operations, including coding, charge entry, claims filing, and payer & patient accounts receivable follow-up, denials, and payment posting. The Specialist will work to resolve issues to maximize collections and enhance patient satisfaction.

Responsibilities

• Monitor the day-to-day flow of recorded visits, coding, charge entry, and claims filing
• Perform payer accounts receivable follow-up, work denials, and handle patient collections
• Process and post payments to patient accounts
• Troubleshoot and resolve billing issues to maximize collections
• Communicate with patients when it pertains to insurance, billing or patient account related questions
• Collaborate with the Revenue Cycle Manager, Finance team and other departments to ensure smooth revenue cycle operations
• Ensure compliance with current healthcare regulations and standards, including HIPAA, Medicare, and Medicaid requirements
• Stay up-to-date with industry trends and changes in regulations
• Assist in creating and monitoring effective revenue cycle KPIs and standardized reporting
• Perform other duties as assigned to support LifeMDs mission and values

Requirements

Basic Qualifications:

• Bachelor’s degree in business administration, healthcare administration, or a related field, or equivalent experience
• 3+ years of experience in medical billing, coding, denial management and reimbursement
• 1+ years of experience with Medicare, especially telehealth
• Proven experience in payment posting, working denials, and accounts receivable follow-up
• Strong understanding of healthcare billing, coding, and collections processes
• Certified Professional Coder (CPC) via AAPC or CCS, CCS-P or CCA via AHIMA
• Proficiency with revenue cycle management software such as Availity, commercial and Medicare payer portals and Google Suite

Preferred Qualifications:

• Excellent analytical skills with the ability to interpret and act on complex data
• High level of proven communication skills, including written and verbal
• Ability to work in a fast-paced, dynamic growth environment
• Creative problem solver and team player who thrives in a collaborative environment
• Fantastic organizational and time management skills with a high attention to detail

Benefits

• Salary Range: $55,000-$65,000 annually
• Health Care Plan (Medical, Dental & Vision)

• Retirement Plan (Roth 401k)
• Life Insurance (Basic, Voluntary & AD&D)
• Unlimited PTO Policy
• Paid Holidays
• Short Term Disability

Originally posted on Himalayas