Revenue Cycle Specialist

Osmind is a technology, services, and data company focused on psychiatry, serving over 1,000 independent practices across the US. They develop innovative software solutions to improve mental health care and research, backed by top investors.

Location: Remote (US)

Responsibilities

• Own the cash side of the revenue cycle — Make sure clean claims flow without bottlenecks; address holds, edits, and rejections that prevent submission
• Unclog cash flow — Work outstanding AR across 30/60/90+ day aging buckets; prioritize high-dollar claims; resolve denials, rejections, and holds to maximize cash flow
• Address denials with providers — Partner directly with practices to gather information, resolve issues, and prevent recurring denial patterns
• Navigate modern E&M and telehealth billing — Comfortably work standard office E&M, POS rules, and the state-by-state and payer-by-payer telehealth modifier patchwork. Read a payer reimbursement policy and translate it into a billing action without hand-holding
• Bring PA fluency — When the team needs PA support, pick up the work cleanly. Understand medical vs. pharmacy benefit routing, PBMs, buy-and-bill vs. specialty pharmacy procurement, and how to coordinate peer-to-peers when needed
• Quality improvement — Audit and clean up AR backlog, flag template/SOP/workflow improvements, and contribute to how the team operates
• Provider communication — Send clear, concise, professional messages to practices. Every message is one a practice can act on without follow-up
• Internal communication — Raise blockers proactively in the right channel within hours, not days. Don't bottle things up

Requirements

• 3+ years of hands-on AR resolution experience — denials, rejections, appeals, aging buckets, prioritization to maximize cash
• Prior authorization experience — You've had PA-specific responsibilities in at least one prior role (requesting, amending, following PAs through to resolution; bonus for appeals or peer-to-peer coordination)
• Benefit routing fluency — You understand medical vs. pharmacy benefits, PBMs, and the difference between buy-and-bill and specialty pharmacy procurement
• Modern E&M and telehealth billing chops — Standard office E&M, POS rules, the state- and payer-specific telehealth modifier patchwork. You can read a payer reimbursement policy and act on it
• Tech adaptability — You've ramped on new platforms before without formal training and can describe how. We use a lot of proprietary and modern tooling, and you should treat learning new software as a competency, not an obstacle
• Major payer portal experience — Availity, Navinet, PayerCompass, payer-specific portals
• AI-native — You use Claude, Gemini, or comparable tools in your daily workflow and can speak to how you've made them useful
• Startup energy — You're excited by pace, ownership, and the chance to shape process rather than inherit it
• Open, direct communication style — Comfortable raising blockers fast, asking clear questions, giving and receiving direct feedback
• US-based, eligible to work in the US without sponsorship

Additional Information

• In your application, please include a short response (4–6 sentences) to a specific denial type, payer policy quirk, or PA hurdle that has frustrated you in the last 6 months, including the situation, what you tried, and what eventually resolved it. This demonstrates your communication and problem-solving skills.