Revenue Cycle Management Specialist - Care Navigation (Medicare/CHI/PIN)
2
2070HealthHealthcare
Workable locations: San Francisco, California, United StatesFull-TimeJunior
Salary not disclosed
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Job Details
- Languages
- Strong written and verbal English communication.
- Experience
- 2 to 5 years
- Required Skills
- EHR
Requirements
- 2 to 5 years of hands-on US medical billing / revenue cycle experience.
- Direct, demonstrable experience billing Medicare Part B claims.
- Hands-on experience with the full CHI and PIN code family: PCM: 99424–99427, CCM: 99490, 99439, 99487, 99489, TCM: 99495, 99496, BHI / CoCM: 99484, 99492–99494, RPM / RTM: 99453–99458, APCM: G0556, G0557, G0558, SDOH Risk Assessment: G0136, CCM initiating visit: G0506, RHC / FQHC general care management: G0511
- Fluent in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations.
- Comfortable with EHR / PMS (like Athenahealth, eClinicalWorks, AdvancedMD, DrChrono, Epic, Cerner, Kareo, or similar).
- Prior experience at a care-navigation company, digital-health platform, value-based-care provider group, or specialty practice that bills CHI / PIN at scale.
Responsibilities
- Own end-to-end RCM for Medicare CHI and PIN claims, from eligibility verification through payment posting and reconciliation.
- Audit charge capture against time logs and clinical documentation to ensure clean CHI / PIN submissions.
- Work clearinghouse edits, manage denials, and run appeals to closure.
- Run AR aging, payment posting, and ERA / EOB reconciliation; flag payer and MAC-specific trends to leadership.
- Partner with care navigators and clinicians to close documentation gaps, and report KPIs back to the team.
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