Senior Revenue Cycle Specialist

TL;DR

Senior Revenue Cycle Specialist (RCM/Behavioral Health): Own AR workflows and denials/rejections recovery across district, health plan, and member revenue streams with an accent on root-cause investigation, corrected claims and appeals, and compliance-driven billing operations. Focus on scaling a high-volume revenue cycle function by improving clean claim rates, managing aging AR, and driving continuous process improvements.

Location: Remote

Salary: $55,000 - $75,000

Company

hirify.global is an early-stage company building a school-centered mental health program for kids.

What you will do

• Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and member inquiries.
• Drive denials and rejections recovery for a high-volume behavioral health claims portfolio: investigate root causes, submit corrected claims and appeals, track outcomes, and implement systemic fixes.
• Investigate and resolve complex claim denials and rejections, recommending systemic improvements to improve clean claim rates.
• Review, validate, and submit Massachusetts CANS assessments in compliance with state and payer requirements.
• Act as the internal subject matter expert on payer requirements, billing regulations, and compliance standards; handle escalations from clinical and operations teams.
• Analyze AR trends and denial patterns to surface insights and improve billing efficiency, revenue recovery, and member experience.

Requirements

• 3+ years of experience as a Billing Specialist, Accounts Receivable Specialist, Payment Coordinator, Revenue Cycle Specialist, or similar role.
• 1+ years of behavioral health billing experience.
• Deep expertise in denials management, appeals, corrected claims, and AR follow-up.
• Strong working knowledge of healthcare billing regulations, payer requirements, and compliance standards.
• Proven ability to independently identify billing issues, investigate root causes, and implement fixes.
• Experience with payment posting, cash reconciliation, and resolving complex payment discrepancies for members.

Nice to have

• Experience with Apero and/or Healthie EMR.
• Massachusetts CANS experience.

Culture & Benefits

• Equity ownership stake in the company.
• High-quality health insurance with a $0 monthly premium option for employees.
• Dental, Vision, and Employer-Sponsored Life Insurance.
• 4 weeks of paid PTO (3 weeks any time + 1 week office closure in December), plus sick leave and holidays.
• 401K with up to 2% employer match.
• $500 annual educational stipend and a team-based, mission-driven culture.

Hiring process

• Recruiter and hiring manager review of applications.
• Interviews with documentation/recording as part of the process.
• AI-assisted tools may be used for scheduling and candidate communications, with human-made final decisions.