Revenue Cycle Claims Specialist

About NOCD NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment. At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We’re changing the world and need other like-minded individuals to accelerate and expand our efforts. Full-time, Remote | 9:00 AM – 5:30 PM CT, Monday–Friday Position Overview The Revenue Cycle Specialist is a critical role within NOCD’s Revenue Cycle Management (RCM) team, responsible for managing the full insurance claims lifecycle—from eligibility verification through payment posting and denial resolution. This role requires a strong foundation in medical billing, insurance adjudication, and payer-specific guidelines, combined with a commitment to providing an excellent member experience. You will work cross-functionally with clinical, finance, and member support teams to ensure clean claim submission, timely reimbursement, and accurate member billing. Key Responsibilities Insurance Verification & Eligibility • Ability to verify member insurance eligibility and benefits prior to service, including deductible, copay, coinsurance, and out-of-pocket maximums Claims Submission & Management • Submit clean claims electronically via EHR and clearinghouse platforms in compliance with payer-specific requirements • Ensure accurate coding of CPT, ICD-10, and modifier codes for behavioral health and telehealth services • Monitor claim status through payer portals and clearinghouses; identify and resolve rejections prior to adjudication • Manage claims across multiple payers Denial Management & Appeals • Review and work denial queues daily • Draft and submit clinical and administrative appeals with supporting documentation • Track appeal outcomes and escalate payer trends to leadership for contract and process improvements Payment Posting & Reconciliation • Post insurance EOBs and ERAs accurately to patient accounts; reconcile payments against expected reimbursements • Identify and resolve underpayments, overpayments, and contractual adjustments in accordance with payer contracts • Process member refunds and balance transfers as appropriate Member Billing & Support • Respond to member billing inquiries via phone, email, and chat with accuracy and empathy • Explain EOBs, member responsibility amounts, and payment options clearly • Resolve billing disputes, identify errors, and apply corrections with appropriate documentation in the CRM and EHR Reporting & Compliance • Maintain accurate records of all claims activity, member interactions, and billing adjustments • Adhere to HIPAA guidelines and company compliance standards in all communications and data handling • Report KPIs including denial rates, days in A/R, clean claim rates, and collection rates to manager on a regular cadence Qualifications Required • 2+ years of experience in medical billing, revenue cycle, or insurance claims processing • Working knowledge of the full claims lifecycle: eligibility verification, claims submission, denial management, appeals, and payment posting • Proficiency reading and interpreting Explanations of Benefits (EOBs) and Electronic Remittance Advices (ERAs) • Solid understanding of insurance terminology: deductible, copay, coinsurance, prior authorization, coordination of benefits, and timely filing • Experience with CPT and ICD-10 coding for behavioral health or telehealth services • Familiarity with clearinghouse platforms and EHR systems • Strong attention to detail, analytical thinking, and ability to manage high-volume work queues • Excellent written and verbal communication skills; ability to explain billing clearly to members Preferred • Experience in behavioral health, mental health, or telehealth billing • Familiarity with Medicaid and Medicare billing requirements • Experience working denials and drafting payer appeals • Bachelor’s degree in healthcare administration, business, or related field • CPC, CPMA, or equivalent billing/coding certification Note: Role responsibilities are subject to change based on business needs. A flexible, “floater” mentality is valued on this team. What We Offer Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match 11 observed company holidays a year PTO based on an accrual system Engaging startup environment with an outstanding mission-driven team atmosphere Downtown Chicago office with an on-site gym Noto provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees. Pay Transparency The expected pay range for this position is $50,000 to $60,000. Actual pay will be based on the individual’s qualifications and experience. This role is also eligible for annual performance-based incentives tied to individual achievement and company-wide goals