Revenue Cycle Claims Specialist

Full-time, Remote | 9:00 AM – 5:30 PM CT, Monday–Friday

Position Overview

The Revenue Cycle Specialist is a critical role within NOCD’s Revenue Cycle Management (RCM) team, responsible for managing the full insurance claims lifecycle—from eligibility verification through payment posting and denial resolution. This role requires a strong foundation in medical billing, insurance adjudication, and payer-specific guidelines, combined with a commitment to providing an excellent member experience. You will work cross-functionally with clinical, finance, and member support teams to ensure clean claim submission, timely reimbursement, and accurate member billing.

Key Responsibilities

Insurance Verification & Eligibility

Ability to verify member insurance eligibility and benefits prior to service, including

deductible, copay, coinsurance, and out-of-pocket maximums

Claims Submission & Management

• Submit clean claims electronically via EHR and clearinghouse platforms in compliance
• with payer-specific requirements
• Ensure accurate coding of CPT, ICD-10, and modifier codes for behavioral health and
• telehealth services
• Monitor claim status through payer portals and clearinghouses; identify and resolve
• rejections prior to adjudication
• Manage claims across multiple payers

Denial Management & Appeals

• Review and work denial queues daily
• Draft and submit clinical and administrative appeals with supporting documentation
• Track appeal outcomes and escalate payer trends to leadership for contract and process improvements

Payment Posting & Reconciliation

• Post insurance EOBs and ERAs accurately to patient accounts; reconcile payments against expected reimbursements
• Identify and resolve underpayments, overpayments, and contractual adjustments in accordance with payer contracts
• Process member refunds and balance transfers as appropriate

Member Billing & Support

• Respond to member billing inquiries via phone, email, and chat with accuracy and empathy
• Explain EOBs, member responsibility amounts, and payment options clearly
• Resolve billing disputes, identify errors, and apply corrections with appropriate documentation in the CRM and EHR

Reporting & Compliance

• Maintain accurate records of all claims activity, member interactions, and billingvadjustments
• Adhere to HIPAA guidelines and company compliance standards in all communications and data handling
• Report KPIs including denial rates, days in A/R, clean claim rates, and collection rates to manager on a regular cadence

Qualifications

Required

• 2+ years of experience in medical billing, revenue cycle, or insurance claims processing
• Working knowledge of the full claims lifecycle: eligibility verification, claims submission, denial management, appeals, and payment posting
• Proficiency reading and interpreting Explanations of Benefits (EOBs) and Electronic Remittance Advices (ERAs)
• Solid understanding of insurance terminology: deductible, copay, coinsurance, prior authorization, coordination of benefits, and timely filing
• Experience with CPT and ICD-10 coding for behavioral health or telehealth services
• Familiarity with clearinghouse platforms and EHR systems
• Strong attention to detail, analytical thinking, and ability to manage high-volume work queues
• Excellent written and verbal communication skills; ability to explain billing clearly to members

Preferred

• Experience in behavioral health, mental health, or telehealth billing
• Familiarity with Medicaid and Medicare billing requirements
• Experience working denials and drafting payer appeals
• Bachelor’s degree in healthcare administration, business, or related field
• CPC, CPMA, or equivalent billing/coding certification

Note: Role responsibilities are subject to change based on business needs. A flexible, “floater” mentality

is valued on this team.

What We Offer

• Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match
• 11 observed company holidays a year
• PTO based on an accrual system
• Engaging startup environment with an outstanding mission-driven team atmosphere
• Downtown Chicago office with an on-site gym
• Noto provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.

Pay Transparency

The expected pay range for this position is $50,000 to $60,000. Actual pay will be based on the individual’s qualifications and experience. This role is also eligible for annual performance-based incentives tied to individual achievement and company-wide goals