Revenue Cycle Specialist

Job description

About us At Pomelo Care, we are redefining the healthcare journey for women and children. As the leading virtual medical practice in our field, we provide a continuous circle of support—from the first steps of family building and the complexities of pregnancy to the nuances of postpartum, pediatric, and midlife care. We aren't just a clinic; we are a multidisciplinary engine of clinicians, engineers, and problem-solvers dedicated to closing the gaps in traditional care. By leveraging a high-touch, technology-driven platform, we identify risks early and deliver deeply personalized, 24/7 virtual care. We are here to prove that better data and patient-centered care lead to better outcomes, raising the standard of care for families nationwide. Your north star: In this role, you will be accountable for the accurate and timely submission and reconciliation of claims for the Pomelo medical practice including: - 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...