Revenue Cycle Claims Specialist

Finni Health (YC W23)

Revenue Cycle Claims Specialist optimizing revenue cycle operations for autism care providers at Finni Health. Collaborating with teams to enhance billing, claims processing, and compliance.

Posted 6/4/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $75,000 - $85,000 per yearWebsite

About the role

Key responsibilities & impact

Play a critical role in optimizing our revenue cycle operations
Monitor claims approaching timely filing limits and alert the RCM team about these claims
Resolve payer claims rejections by researching the root cause, calling the payer, and ultimately get claims accepted
Follow up on claims with no payer response and ensure claims are on file with payers
Identify root cause of issues and work with various teams to obtain updated coverage information
Research root cause of claim denials and appeal them within deadlines
Ensure all EDI related enrollments are in place with payers
Ensure strict adherence to payer regulations and internal policies
Lead workflow optimization initiatives within RCM and manage specific projects
Collaborate extensively with multiple teams to align RCM efforts with business objectives

Requirements

What you’ll need

5+ years of relevant experience in revenue cycle management
Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management
Proven ability to work effectively within a team environment
Excellent written and verbal communication skills
Proficiency in Google Suite, Slack, CRM/support software, and EHR/RCM management tools

Benefits

Comp & perks

Health insurance
Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

revenue cycle managementbillingclaimscollectionsdenial appealsaccounts receivable managementroot cause analysisworkflow optimizationEDI enrollmentspayer regulations

Soft Skills

team collaborationcommunication