M

Midi

Virtual menopause care platform with insurance coverage

Revenue Cycle Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
ContractRemote in USA$25 /hr

About the Job

Requirements

  • At least 2–3 years of experience in medical billing and revenue cycle operations, preferably in telehealth or a high-growth healthcare environment.
  • At least 2–3 years of experience managing patient and insurance accounts receivable.
  • Hands-on experience using billing platforms such as Athena, including claims troubleshooting and patient support.
  • Strong understanding of healthcare reimbursement methodologies and coding guidelines, including CPT, ICD-10, and HCPCS.
  • Experience working remotely in a fast-paced, deadline-driven environment.
  • Strong written and verbal communication skills and a customer service mindset.
  • Strong organizational skills and the ability to manage multiple priorities independently.

Responsibilities

  • Respond to patient billing and insurance inquiries via Zendesk within defined service-level agreements, resolving questions about financial responsibility, statement disputes, and payment arrangements accurately and empathetically.
  • Place outbound calls to patients to resolve open billing issues, clarify account questions, and follow up on unresolved inquiries or disputes.
  • Explain healthcare billing and insurance concepts—including coverage, copays, deductibles, explanations of benefits, and telehealth billing—to patients in clear language.
  • Set up and document payment plans and arrangements in Athena in accordance with company financial policies.
  • Manage patient accounts receivable follow-up, including statement review and balance research, and issue corrections, refunds, or rebills when discrepancies are identified.
  • Execute the patient financial discharge process, including account review, final balance resolution, and required documentation and communication.
  • Document all patient interactions in Athena and Zendesk to maintain complete and accurate account histories.
  • Work Athena claim hold and denial queues within defined timeframes, prioritizing aged and high-value accounts to meet team resolution targets.
  • Research claim status, eligibility, benefits, and denial details in payer portals and Availity to resolve billing questions and support claim follow-up.
  • Call insurance payers to follow up on claim status, denials, and billing questions, documenting outcomes and reference numbers in Athena.
  • Coordinate with clinical teams and providers to complete documentation addendum requests from coders, tracking requests through resolution to release held claims.
  • Partner with credentialing to resolve claim holds related to provider enrollment status.
  • Monitor and respond to payer and patient correspondence in Athena correspondence dashboards to ensure timely resolution.
  • Collaborate with clinical staff to identify documentation gaps and support timely note updates that enable accurate claim submission and reimbursement.
  • Serve as the billing and insurance subject matter expert for the Patient Experience team, answering internal questions and resolving escalations routed through Zendesk, Slack, and email.
  • Identify root causes of recurring denials, claim holds, and patient billing confusion, and recommend corrective actions and process improvements.
  • Participate in testing and adoption of AI-assisted claim-management and patient-communication tools, including automation-driven workflow changes.
  • Support special projects related to claims, patient support, internal tools, and partnerships.

Desired Qualifications

  • Experience in medical billing and revenue cycle operations in a telehealth or high-growth healthcare environment.

About the Company

Midi

Virtual menopause care platform with insurance coverage

Midi Health runs a nationwide virtual clinic delivering midlife women’s health care (perimenopause and menopause) through clinicians trained on evidence-based protocols. Care includes personalized plans, hormone and non-hormonal treatments, testing, mental health and lifestyle support, and is covered by major insurers across all 50 states. It differentiates itself by combining scalable, expert-backed protocols with insured access and a holistic focus on broader midlife health, not just menopausal symptoms. Its goal is to improve health outcomes for millions of midlife women, reduce healthcare costs, and make menopause and midlife health a standard part of preventive care and employee wellness.

Company size
501-1,000
Company stage
Series D
Total funding
$262.9M
Headquarters
Los Altos, CA
Founded
2021

Recently Posted Jobs

Explore more opportunities at Midi

See more jobs