Revenue Cycle Specialist

Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a holistic approach to diagnosing, managing and treating digestive health conditions. Oshi Health has been recognized by Modern Healthcare and Builtin as the recipient of Best Place to Work awards. This recognition highlights our dedication to creating a workplace environment that prioritizes our team, fosters inclusivity, and is committed to our mission.

We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support. Our care is delivered virtually through our app, via secure messaging and telehealth visits. When in-person diagnostics or procedures are needed, we take a concierge approach and coordinate access, care and follow up with local providers. For more information, visit us at: www.oshihealth.com

"Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to careers@oshihealth.com, and we'll confirm whether you're engaging with one of our Oshi teammates!"

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

• Do the Right Thing
• Be Direct & Open
• Learn & Improve
• TEAM - Together Everyone Achieves More
• 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.

Compensation Range

$50,000—$55,000 USD

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.

Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com