Revenue Cycle Specialist - Hybrid/Boston, MA
3 days ago
Boston
Job DescriptionDescription:About Brook Health Brook Health delivers care beyond the walls of the doctor’s office. We provide people living with chronic conditions a highly personalized experience enhanced by AI and powered by mobile apps, connected devices, and a team of health coaches and clinicians. Brook helps people achieve their long-term health goals by supporting smart, daily decisions and partnering with their primary care physicians. Our product suite includes continuous remote monitoring, population health management tools, and a CDC-approved diabetes prevention program. Brook has an intentional, user-centric culture with high expectations for delivering better health outcomes for patients, providers, and health systems. Position Summary The Revenue Cycle Specialist plays a critical role in managing Brook’s end-to-end billing and reimbursement processes, ensuring claims are accurate, submitted on time, and resolved efficiently. This role demands exceptional attention to detail, a strong sense of urgency around deadlines, and a service-oriented approach to supporting patients, partners, and internal teams. The Revenue Cycle Specialist is accountable for meeting submission and follow-up timelines, resolving denials proactively, and maintaining precise documentation across all revenue-cycle activities. They balance technical billing expertise with responsive, professional communication—understanding that accuracy, timeliness, and service quality are equally critical to Brook’s financial health and patient experience. This role is ideal for someone who takes pride in precision, thrives in a deadline-driven healthcare environment, and is motivated by delivering reliable, high-quality service in support of patient care. Requirements: Key Responsibilities Claim Preparation & Timely Submission • Prepare, review, and submit accurate claims to commercial, Medicare, and Medicaid payors within required submission deadlines, • Validate coding, modifiers, and supporting documentation to prevent errors, rework, and delays, • Review denied or underpaid claims promptly and prioritize follow-up based on aging and financial impact, • Identify root causes and trends in denials and take corrective action to prevent recurrence, • Verify insurance coverage and benefits accurately and in advance when possible, • Calculate patient financial responsibility and communicate balances clearly, respectfully, and with empathy, • Actively manage assigned A/R, ensuring timely follow-up, documentation, and resolution, • Track outstanding balances, meet follow-up deadlines, and maintain accurate aging reports, • Identify bottlenecks, errors, or workflow gaps that delay payment or increase rework, • Maintain thorough, audit-ready documentation that supports billing decisions and payor requirements, • Collaborate closely with Clinical Operations, Partner Success, and Finance to ensure aligned, service-driven revenue-cycle execution, • Contribute to improvements in billing workflows, automation, and reporting while maintaining accuracy and deadline integrity, • Support system updates and process changes with attention to detail and follow-through, • Strong understanding of healthcare billing, coding, and claims-management processes, • Proven ability to manage high-volume, detail-sensitive work while meeting strict deadlines, • Highly detail-oriented with a track record of accuracy and consistency, • Service-oriented mindset with strong interpersonal skills for patient and payor interactions, • Proficiency with EMR/EHR revenue-cycle modules, • Strong written and verbal communication skills, • Proficiency in Microsoft Excel or Google Sheets for tracking and reporting, • Highly organized, dependable, and accountable in a fast-paced healthcare environment, • Minimum 3 years of accounts receivable or billing experience in a healthcare setting, • Epic or Cerner certification strongly preferred, • Medical Billing Certification strongly preferred, • Fast-paced environment – Brook operates in two of the fastest changing industries in America – Healthcare and Technology. We move quickly to design tools and protocols based on customer and industry feedback. Thriving in an environment of change and continuous improvement is a core competency for all members of our team., • Dynamic roles - We are a small and tight-knit team enthusiastically tackling difficult problems in an entrenched industry. All team members are expected to contribute to company protocols, provide product feedback and to generally think critically about our processes and care model. Brook is as focused on our employees’ health as we are on that of our patients. Our Benefits program reflects that. We recognize that health does not just mean physical health, but mental and financial health as well. We make every effort to cover all those areas in our plan offerings. Benefits at Brook Health In addition to meaningful work in a mission-driven company, Brook offers a comprehensive benefits package designed to support the medical, financial and mental health wellbeing of our employees and their families. Healthcare Coverage • Employee & Child(ren): Brook pays 100% of premiums for full-time employees and their child or children for Medical, Dental, and Vision coverage. This means there are no paycheck deductions for you or your child(ren)., • Spouse/Domestic Partner: Brook contributes 50% of premiums for coverage of a spouse or domestic partner., • HSA Contribution: Employees who enroll in our HSA-eligible medical plan receive a Brook-funded contribution to help cover medical expenses such as deductibles, prescriptions, and office visits., • Mental Health Support: Brook supplements the mental health coverage included in our medical plan with additional resources. Employees have access to free therapy sessions through Spring Health, providing confidential, professional support when it’s needed most., • Income Protection: Brook provides Short-Term and Long-Term Disability insurance to all full-time employees, helping replace income during an illness or injury. Short-Term Disability works alongside any state or insurance benefits and Brook coverage to provide added financial support while you’re away from work., • Life Insurance: Brook provides company-paid life insurance equal to one times salary, up to a set maximum., • 401(k) Retirement Savings: All employees (full-time and part-time) are automatically enrolled in our 401(k) plan. Brook provides a company match to help employees grow their retirement savings.