Revenue Cycle Management Specialist - Care Navigation (Medicare/CHI/PIN)

1 week, 4 days ago
Full-time
Mid Level
Operations
2070health

2070health

2070 Health is India’s first Venture Studio dedicated to building patient-centric healthcare companies from the ground up. They offer opportunities for individuals to become founders of companies that drive scale and impact in the healthcare industry, ...

Health Care Providers & Services
$30M raised

Description

  • Own end-to-end revenue cycle management for Medicare CHI and PIN claims, from eligibility verification through payment posting and reconciliation.
  • Audit charge capture against time logs and clinical documentation to ensure accurate and clean CHI and PIN submissions.
  • Work clearinghouse edits, manage denials, and run appeals through resolution.
  • Run accounts receivable aging, payment posting, and ERA/EOB reconciliation.
  • Identify payer and MAC-specific trends and report key performance indicators to leadership.
  • Partner with care navigators and clinicians to close documentation gaps and support compliant billing.
  • Help ensure claims are paid on time with minimal compliance risk.

Requirements

  • 2 to 5 years of hands-on U.S. medical billing and revenue cycle experience.
  • Direct, demonstrable experience billing Medicare Part B claims is required.
  • Hands-on experience billing the full CHI and PIN code family, including PCM 99424–99427, CCM 99490/99439/99487/99489, TCM 99495/99496, BHI/CoCM 99484/99492–99494, RPM/RTM 99453–99458, APCM G0556/G0557/G0558, SDOH Risk Assessment G0136, CCM initiating visit G0506, and RHC/FQHC general care management G0511.
  • Fluency in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations.
  • Experience with EHR/PMS systems such as Athenahealth, eClinicalWorks, AdvancedMD, DrChrono, Epic, Cerner, Kareo, or similar.
  • Strong written and verbal English communication skills.
  • U.S. work authorization is required.
  • Prior experience at a care-navigation company, digital-health platform, value-based-care provider group, or specialty practice that bills CHI/PIN at scale is preferred.

Benefits

  • Competitive base salary.
  • Health, dental, and vision insurance.
  • 401(k) retirement plan.
  • Fully remote work arrangement.
  • Flexible PTO.
  • Annual learning and certification stipend.

Interested in this position?

Apply directly on the company website

Apply Now

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