(Remote) Mental Health Revenue Cycle / Medical Billing Coordinator - Full Time

Job Summary

Under the direct supervision of the Revenue Cycle Supervisor, the Revenue Cycle Coordinator serves as a key support role within the billing department. This position contributes to claim processing, denial resolution, insurance follow-up, and patient invoicing. It also plays a critical role in handling communication across billing channels including emails, phone calls, and chat messages, with an emphasis on timely and professional follow-through. The Coordinator leverages prior billing experience to help maintain accuracy, efficiency, and responsiveness across all core revenue cycle functions. 

Job Responsibilities & Qualifications

Responsibility Composition

50% - Claims processing (submissions, rejections, denials, payment review)

30% - Communication handling (patient/provider emails, phone calls, internal chats, follow-up research)

10% - Eligibility troubleshooting and insurance-related support tasks

10% - Ad hoc projects and cross-functional support

Responsibilities

• Prepare, review, and transmit claims using billing software in an accurate and timely manner
• Support insurance eligibility troubleshooting by flagging inconsistencies or missing information for resolution
• Follow up on denied or rejected claims, including supporting the collections process in accordance with department standards
• Support patient invoice procedures, including billing inquiries and basic account clarification
• Review and validate claims for completeness, coding accuracy (CPT/ICD-10), and payer-specific rules before submission
• Monitor claims for timely filing deadlines and escalate any risks to the Revenue Cycle Supervisor
• Effectively utilize the EMR system (IntakeQ) and other platforms to support claim, payment, and patient account workflows
• Investigate billing discrepancies and errors, and assist with resolution of denied claims when appropriate
• Check each insurance payment for accuracy and compliance with contracted rates; call payers to address discrepancies if necessary
• Flag potential secondary insurance coverage for further review or follow-up
• Escalate complex denial trends, unresolved claim issues, or recurring payer discrepancies to the Senior Revenue Cycle Specialist or Supervisor
• Collaborate with the Revenue Cycle Supervisor and Specialists to provide support as needed (e.g., special projects, ad-hoc reports, process improvements)
• Collaborate cross-functionally with other operational teams to support efficient billing workflows and issue resolution
• Assist with specialty focus areas (e.g., mailed correspondence, provider coordination) as needed to maintain workflow continuity
• Provide responsive support to patients, providers, and internal departments by managing billing-related phone calls, emails, and chat inquiries; ensure timely and accurate resolution in line with department standards
• Maintain compliance with HIPAA, insurance billing guidelines, and all internal processes
• Adhere to department Standard Operating Procedures (SOPs) and contribute to continuous improvement efforts
• Promote a collaborative work culture that supports growth, teamwork, and continuous learning
• Expected to contribute to weekly claims submission and denial resolution goals as set by the Revenue Cycle Supervisor
• Perform other billing-related duties as assigned by department or group leaders

Qualifications

Education: 

• Required: High school diploma or GED
• Preferred: Associate's degree in medical office billing or related field

Licensure/Certification:

• Preferred: Certified Professional Coder (CPC) 

Required Experience & Skills:

• Three (3) or more years of experience in medical billing, including claim submission and insurance follow-up
• Experience in remote healthcare customer service or patient support, including phone-based communication
• Competent understanding and interpretation of Explanation of Benefits (EOBs)
• Knowledge of EMR/EHR platforms (e.g., IntakeQ)
• Data entry experience with strong attention to detail
• Knowledge of insurance guidelines, including HMO/PPO, in-network/out-of-network (IN/OON) benefits, and Medicare rules
• Proficiency with Google Suite and the ability to navigate multiple platforms (e.g., Salesforce, EMRs)
• Intermediate computer skills and solid technical aptitude
• Strong written and verbal communication skills; able to communicate professionally with patients, providers, and internal teams

Preferred:

• Behavioral health billing experience
• One (1) or more years of telehealth billing and coding experience
• Familiarity with various billing programs and electronic claim submissions

*Job Description Responsibilities and Qualifications are subject to change based on the needs of the Business

Comprehensive Benefits to Support Your Well-being

At Rivia Mind, we prioritize the well-being, growth, and success of our team members. Our robust benefits package is designed to provide support in every facet of your life—personal, professional, and financial.

Learn more here.

Health & Wellness:

• Medical Coverage - HDHP, PPO or PPO Buy-Up
• Health Savings Account, Flexible Spending Account, and Dependent Care Account Options
• Dental & Vision Insurance
• Whole-Body Wellness Offerings if Enrolled in one of our three Aetna Medical Plans 

Time Off & Flexibility:

• Front Loaded Paid Time Off (PTO)
• Observed Holidays & Annual Office Closure
• Bereavement Leave / Pet Bereavement Leave

Financial Wellness:

• Competitive Pay
• 401(k) Retirement Plan and employer match
• Employee Referral Program
• Transit and Parking Voluntary Benefit

Professional Development:

• Professional Development Stipend after 1st Work Anniversary
• Paid Professional Development Days after 1st Work Anniversary
• Learning & Development Resources

Additional Benefits:

• Short-Term & Long-Term Disability
• Group Life/AD&D Insurance
• Employee Assistance Program (EAP)
• Voluntary Benefits
• Quarterly Wellness Activities

We’re committed to helping you thrive in our Rivia Community. Join us and experience a workplace that values your health, happiness, and growth.

Compensation & Employment Details

Pay Range: $43,000- $50,000

Pay Type: Salary

Schedule: 10:00 AM – 6:00 PM, Monday - Friday. Team members work 8-hour shifts with a 1-hour lunch break, with a consistent schedule - Eastern Standard Time (EST).

The schedule will be 9:00 AM - 5:00 PM during the training period. 

We strive to support a healthy work-life balance by keeping work within your selected schedule. If additional hours are occasionally needed to complete responsibilities, advance approval for overtime is required.

Department: Revenue Cycle

Supervisor: Revenue Cycle Supervisor

Supervisees: NONE

Employment Status: Full Time (40 hours a week)

Exemption Status: Non-Exempt W-2

Work Environment: Remote

Location Eligibility

At this time, we are only able to consider applicants whose primary residence is in one of the following states:
Connecticut, Florida, Georgia, Kansas, Kentucky, Maryland, Massachusetts, Michigan, New Jersey, New York, Ohio, Pennsylvania, South Carolina, or Texas.

Because this is not a solely on-site role, your primary residence must remain in one of these approved states. Please note that residing outside of these states—even temporarily—may result in employment eligibility issues, tax implications, or other regulatory concerns.

If your location changes or you're based elsewhere, we encourage you to stay connected for future openings. We appreciate your interest.

Compensation Statement

Rivia Mind is committed to equal and transparent pay. Please note that the salary range information is a general guideline and combines various labor markets within the US. The range displayed on each job posting reflects the minimum and maximum range of potential pay for this role. It is uncommon for an individual to be hired at or near the top of the range for their role. 

Our compensation salary ranges or pay rates are determined by various factors.
- Job Qualifications, Job Responsibilities, Job Employment Level, Skills
- When applicable, Location, Work Environment, Licensure & Certifications, Specialty Experience, Education & Training, etc.

Your recruiter can share more about the specific salary range for this role during the hiring process.

Please note that the compensation details listed in the United States role postings reflect the base salary only, and do not include possible bonus or benefits if applicable to the role.

Equal Opportunity Employer

Rivia Mind is an Equal Employment Opportunity Employer. It is the policy of Rivia Mind to provide equal employment opportunities without regard to race, color, religion, sex, gender identity or expression, pregnancy, age, national origin, weight, height, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. It is also the policy of Rivia Mind that qualified individuals with disabilities receive equal opportunity in regard to job application procedures, hiring, and all aspects of the employment process. Rivia Mind is committed to the full inclusion of all qualified individuals. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Rivia Mind to provide reasonable accommodations when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, pre-employment testing, to otherwise participate in the selection process, to perform the essential job functions, and/or to receive other benefits and privileges of employment, please contact us directly.