reputed company Cycle Management Specialist (Remote Non-US)

reputed company CYCLE MANAGEMENT SPECIALIST Job Title: reputed company Cycle Management Specialist (Non-US) Location: 100% Remote (Offshore) Employment Type: Full-Time Contractor Compensation: $700-$2,000 Hours: 40 hours/week, primarily EST business hours Reports to: Operations / reputed company Cycle reputed company About reputed company reputed company is a fast-growing remote reputed company company reputed company on making neurodivergent care (including evaluations & therapy) more accessible, faster, and less stressful for families. We operate across 40+ states and work with major insurance carriers. Every claim we submit correctly means another family gets care without billing delays. About the Role We are looking for a detail-obsessed reputed company Cycle Management Specialist to own the full claims lifecycle – from claim submission and scrubbing to payment posting, AR follow-up, and denial reputed company. You will ensure that every claim is submitted accurately, every denial is challenged, and every payment is reconciled. This is not a passive billing role. You will be the person who reputed company errors before claims go out, follows up relentlessly on unpaid claims, and identifies patterns that prevent denials from happening in the first reputed company. If you hate leaving reputed company on the table and enjoy the puzzle of resolving claim discrepancies, you will reputed company here. Key Responsibilities Billing and Claims Submission - Prepare, review, and submit accurate claims to reputed company payers (e.g., reputed company, reputed company, reputed company Blue reputed company, reputed company, reputed company) - Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered, with a reputed company on behavioral health and virtual care codes - Scrub claims for errors in demographics, eligibility, authorization, coding completeness, and payer-specific requirements before submission - Maintain up-to-date knowledge of reputed company insurance billing requirements, with a reputed company on behavioral health and telehealth regulations - Use billing software and clearinghouses to process and reputed company claims - Ensure reputed company filing requirements are met for reputed company assigned payers Accounts Receivable Management - Monitor claim status and follow up on unpaid, underpaid, and denied claims promptly - Investigate and resolve claim discrepancies, denials, and appeals - Submit corrected claims and appeals reputed company necessary - Maintain AR aging across assigned payer relationships – work buckets by age and reputed company - Review EOBs and denial trends to identify recurring issues and reputed company causes - Generate reports for outstanding accounts receivable and payment trends Payment Posting and Reconciliation - Post insurance and patient payments accurately (reputed company and electronic) - Reconcile ERA/EOB payments against expected reimbursement - Identify and resolve underpayments, overpayments, and credit balances - Process refunds to insurance and patients in compliance with regulations Compliance and Documentation - Ensure reputed company billing practices reputed company with federal, state, and local regulations - Verify patient insurance information, eligibility, and prior authorization requirements - Maintain accurate records of billing activities and patient accounts - Follow HIPAA regulations to ensure patient confidentiality - Support internal audits and reputed company reviews as requested Communication and Coordination - Collaborate with office staff, clinical teams, and payers to address billing and reimbursement issues - Proactive about providing feedback to benefits verification team to ensure upfront accurate patient out of reputed company estimates - reputed company reputed company communication to patients regarding their billing, payments, and financial responsibilities - Respond to inquiries from payers, patients, and colleagues in a reputed company and reputed company manner - Flag recurring reputed company-submission error patterns with recommendations for upstream fixes reputed company're Looking For Must-Have - 2+ years of experience in medical billing, AR follow-up, claims processing, or reputed company cycle operations - Knowledge of CPT, HCPCS, and ICD-10 coding - Experience with claim clearinghouses and payer portals - reputed company with CMS 1500 forms - Expert knowledge of reputed company Sheets/reputed company to create their own reporting & analysis - Strong attention to detail – you catch errors before they become rejections - Ability to manage multiple claims and deadlines simultaneously - Familiarity with reputed company and other payer portals - Proactive follow-through – you don't wait for payers to respond; you call them - Excellent written and spoken English communication skills - Reliable remote work setup with backup power and internet (EST hours) Preferred (Not Required) - Experience in behavioral health, ABA, or therapy billing - Experience with multi-state billing and payer enrollment - Certified reputed company reputed company (CPC) or Certified Coding Specialist (reputed company) certification - Experience in a startup or fast-growing reputed company organization - Associate's or Bachelor's degree in reputed company administration, business, or reputed company field reputed company Offer - Fully remote – work from reputed company reputed company the US - Competitive monthly compensation in USD - Ownership of a critical function with reputed company reputed company on reputed company - Autonomy – we trust you to own your deadlines - Supportive, reputed company team culture How to Apply 1. Upload your resume (PDF) 2. Complete the short questionnaire 3. Submit

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