Key Responsibilities
• Check online insurance portals to verify current coverage details align with the billing system information listed.
• Revenue Cycle Analytics & Performance Optimization.
• Own AR performance metrics including days in AR, denial rates, payer turnaround time, and collection yield.
• Claims Strategy & Payer Management.
• Oversee end-to-end claims lifecycle (submission, adjudication, payment), support in identifying systemic payer issues, and drive resolution strategies for denials.
• Financial Data Integrity & Reconciliation.
• Ensure accuracy of charge capture, coding, payment posting, and contractual adjustments; reconcile EOBs, ERAs, and bank deposits with monthly close reporting.
• Denials, Appeals & Root-Cause Analysis.
• Support in denial prevention through root-cause analysis, documentation optimization, and workflow improvements across clinical, front desk, and authorization teams.
• Daily processing of credit card payments in the appropriate payment portal.
• Ensure reimbursement is obtained for services provided to non-insured or under-insured patients.
• Support patient requests for refunds or unused pre-paid services. Coordinate refunds with the Financial Counselors.
• Act as a resource for insurance documentation, registration, and account corrections, if impacting clean claims submission.
Required & Preferred Qualifications
• Bachelor’s degree or Coding certification preferred.
• 3+ years’ experience in healthcare finance or billing required.
• Experience in fertility or OBGYN RCM preferred.
• Proficiency in medical terminology and practice.
• Experience with Electronic Medical Records (EMR).
• Strong proficiency in Microsoft Office (Word, Excel, Outlook).
• Exceptional communication, organizational, and customer service skills.
• Ability to simplify and explain complex financial concepts to patients.
Employment typeThe position is 40 hours per week (Monday–Friday, 8 hours/day).
Full time, Remote, limited hybrid for RCM team meetings
Compensation & Benefits
• Hourly rate: $25–$32 depending on education, experience and skill set.
• Comprehensive health, dental, and vision insurance.
• 401(k) eligible after 6 months of employment.
• Paid time off and observed holidays.
• Support for ongoing skill development and professional growth.
Diversity & Inclusion
ONTO HEALTH is an equal opportunity employer. We are committed to building a diverse and inclusive team that reflects the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.