Revenue Cycle Management Billing Correspondence Specialist

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and genome testing and interpretation services, fueled by the world’s largest, rare disease data sets. For more information, please visit www.genedx.com. 

Summary   

The RCM Correspondence Specialist manages healthcare revenue cycle communications, ensuring timely processing of insurance, patient, and internal correspondence to support billing and reimbursement while maintaining regulatory compliance. Responsibilities include reviewing and routing correspondence, documenting actions in billing platforms, analyzing trends, communicating with stakeholders, assisting with denied claims, and supporting process improvements. Qualifications require relevant education, experience in healthcare revenue cycle management, proficiency in billing software, and strong communication and organizational skills. This remote position reports to the Associate Director of Cash Posting and Correspondence and involves collaboration with various teams. 

Job Responsibilities 

• Review, process, and respond to correspondence from payers, patients, and internal departments regarding billing, claims, and payment issues. 

• Identify and route correspondence to appropriate teams or individuals for resolution. 

• Document all correspondence actions and maintain accurate records in the organization’s RCM system. 

• Maintain up-to-date records of all correspondence, actions taken, and outcomes in the billing system platforms, e.g., Smartsheet, Confluence, SharePoint, etc.  

• Analyze correspondence for trends or recurring issues and escalate as needed. 

• Communicate effectively with insurance companies, patients, and staff to clarify billing questions and resolve discrepancies. 

• Ensure all correspondence is handled in compliance with HIPAA and other relevant regulations. 

• Assist with appeals and follow-ups on denied claims based on correspondence received. 

• Monitor and follow up on current and outstanding unresolved correspondence within established timelines. 

• Critical thinking is vital. 

• Support process improvement initiatives to enhance the efficiency of the correspondence workflow. 

People Manager 

• No 

Education, Experience, and Skills 

• High school diploma or equivalent required; associate or bachelor’s degree in a related field preferred. 

• A minimum of 2-5 years of experience in healthcare revenue cycle management, medical billing, or insurance correspondence is required. 

• Strong understanding of medical terminology, billing codes, and payer requirements. 

• Excellent written and verbal communication skills. 

• Proficient in Microsoft Office Suite and healthcare billing software. 

• Detail-oriented with strong organizational and time management abilities. 
• Ability to work independently and collaboratively in a fast-paced environment. 

Certificates, Licenses, Registrations 

• N/A 

Work Environment 

This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs. 

#LI-REMOTE