Revenue Cycle Management (RCM) Specialist

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

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.