• Job Description

  Req#: 0CC9018A7E
  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.

• About the company

  The best remote jobs for you

Notice