Revenue Cycle Specialist

The Opportunity 

Cala Health is seeking a Revenue Cycle Specialist to join our growing team. This individual will act as a professional representative of our organization. We are seeking a positive, highly motivated specialist to join our team remotely. In this position, employees will be responsible for reviewing documentation for medical necessity and submission of said documentation. This is a remote role that will report to the Director, Revenue Cycle Management.

The compensation range for this role is market driven, with a salary range of $65,000 - $105,000. Additionally, we offer a robust benefits package. This offering is aligned with our overall compensation philosophy. 

Applicants must be currently authorized to work in the United States on a full-time basis. Cala will not sponsor applicants for work visas.

 The Opportunity: A Day in the Life 

• Responsible for answering phone calls and emails in a timely manner. Answer all questions from any client, insurances, or patient professionally and knowledgeably.
• Note all communications expediently.
• Review patient documentation for accuracy and qualification.
• Approve and create sales orders for shipments. Review Sales Orders for accuracy.
• Manage shipments by sending sales orders to ship when ready for delivery.
• Review Sales orders for accuracy after shipment is completed. Create claim and/or invoice by confirming sales order.
• Bill Claims and/or invoices by electronic, paper, or charging credit card.
• Monitor Patient billing module. Update information as needed.
• Communicate and work with clients and cross-functional departments to identify potential risks and solutions for performance improvement.
• Review Sales order reports. Complete reports as needed by Manager.
• Support new and emerging business models.
• Support company goals, objectives, and policies and procedures.
• Perform any other duties, as assigned, when necessary for productivity of the Claims Department.

 Qualifications, Skills and Experience 

• Bachelor's or Associate's degree in Business or Finance preferred; high school or GED equivalent required
• 3+ years of DME accounts receivable billing experience required (Medicare desired)
• Brightree and Salesforce Software knowledge strongly preferred
• Strong computer skills; proficiency in Microsoft and Google products required
• Self-starter who takes initiative to overcome challenges and problem solve
• Excellent written and verbal communication skills
• Must be detail oriented and able to plan, organize and complete tasks in a timely manner
• Ability to multi-task and work independently