Revenue Cycle Specialist Jobs

Revenue Cycle Specialist

Pomelo Care

Location:
United States

Category:
Finance

Contract Type:
Not provided

Salary:

55000.00 - 65000.00 USD / Year

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Job Description:

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.

Job Responsibility:

Reviewing and submitting claims within payor guidelines to ensure timely and accurate filing
Reporting on aging encounters, and partnering with clinicians to resolve them, ensuring compliance with internal best practices
Resolving and appealing claims denials, and working with the Revenue Cycle Manager to improve workflows and optimize our claim submission process
Reconciling ERAs by resolving holds, manually posting payments and adjudicating claims
Collaborating with other teams to identify and update missing patient demographic and insurance data
Proactively identifying opportunities and implementing processes to optimize efficiency and accuracy within the billing function
Collaborating effectively within a team-oriented environment and demonstrating a proactive approach to managing small projects across various functions

Requirements:

3+ years experience in revenue cycle support role
Proficiency in using medical billing software and EHR systems
Proficient in Microsoft Excel and/or Google Sheets
Independent, critical thinker with meticulous attention to detail
Demonstrate proficiency in navigating multiple systems and workflows while maintaining adaptability in a rapidly changing environment

What we offer:

Equity
Benefits
Other opportunities at Pomelo Care

Additional Information:

Job Posted:
December 11, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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