Total Life

Helping older adults live happier, more fulfilling lives. Together.

Revenue Cycle Management (RCM) Specialist

Business AnalystBusiness AnalystFull TimeRemoteTeam 1-10Since 2020H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

34 days ago

Salary

Not specified

English

Job Description

About Us

At Total Life, we believe that the later chapters of life should be defined by growth, purpose, and emotional resilience. We are on a mission to revolutionize healthier aging by combating the silent epidemic of mental health issues and anxiety among the elderly. Our work is driven by a deep-seated commitment to making quality, affordable emotional support services easily accessible to a demographic that is too often overlooked in the digital health revolution.

We are a behavioral health company solely dedicated to the 65+ population. Our values are rooted in empathy, evidence-based care, and accessibility. We don't just provide therapy; we empower seniors to redefine their identity, navigate complex health changes, and maintain a high quality of life. When you join Total Life, you aren't just joining a platform—you are joining a movement to ensure that every senior has a partner in their mental health and wellness journey.

Position Summary

The RCM Specialist is a mid-level role responsible for the tactical execution and oversight of the patient financial lifecycle. You will ensure that our mission remains sustainable by managing the end-to-end billing process. This role requires a deep understanding of the U.S. healthcare industry, specifically regarding Medicare and commercial payers, to ensure our senior clients receive seamless access to care without financial friction.

Core Responsibilities

  • Perform accurate charge entry, claim submission, and payment posting to ensure timely revenue capture.
  • Manage insurance eligibility verification and authorizations, specifically navigating the complexities of Medicare and supplemental plans.
  • Identify, investigate, and resolve claim rejections and underpayments by filing effective appeals with U.S. insurance carriers.
  • Monitor accounts receivable (A/R) aging reports, identify payment trends, and resolve outstanding balances.
  • Handle billing inquiries from seniors and their families with empathy, providing clarity on account balances and payment plans.
  • Maintain strict adherence to HIPAA, CMS billing requirements, and state/federal healthcare regulations.
  • Generate and analyze reports on collections and denial rates to identify "revenue leaks" and suggest process improvements.
  • Collaborate with clinical and operations teams to ensure sessions are documented correctly for billing

Job Requirements

  • Minimum of 3–5 years of experience in medical billing or revenue cycle operations within the U.S. healthcare industry.
  • Strong proficiency in Medicare (Parts A, B, C, and D), Medigap, and major commercial payers (e.g., Humana, UnitedHealthcare).
  • Solid working knowledge of CPT, ICD-10, and HCPCS coding methodologies.
  • Experience navigating Electronic Health Records (EHR) and practice management systems (e.g., Healthy, Athena, or similar).
  • Exceptional attention to detail with the ability to reconcile accounts and solve complex billing discrepancies.
  • Excellent verbal and written skills, with the ability to explain complex financial terms to a senior population.

Benefits

  • Competitive Package: Competitive compensation and benefits package.
  • Purpose-Driven Work: The ability to influence the financial health of a movement dedicated to the mental wellness of the 65+ population.
  • This is a 100% remote position open to candidates located anywhere in the United States.
  • Compensation
  • Target Salary Range: $50,000 – $70,000 (commensurate with experience and location).
  • Environment: Remote
  • Premium Medical, Dental, and Vision insurance plans for you and your dependents.

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