Job Description

Job Description

Job Description

If you got into healthcare to make a difference, you're in the right place . We're looking for a values-driven, mission-focused, dynamic Medical Billing Specialist (Remote) who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on!

What's Rippl?

At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action.

We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital.

Our Mission

The Rippl Mission is to enable more good days for those living with dementia and their families.

Our Core Values

At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers.

We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better—so we're doing it.

We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need—when and where they need it. And we're proving it works.

We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait.

We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out—together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us.

We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team—because when they feel valued and empowered, patients and caregivers get the care they deserve.

Join the movement

We're looking to find other changemakers who are ready to join our movement.

The Role:

The Medical Billing Specialist supports daily billing operations to ensure accurate and timely claim submission, payment posting, and resolution of rejections or denials. This role focuses on managing claim volume in Athena and ensuring compliance with payer requirements and healthcare regulations. This role also serves as a primary point of contact for patients and caregivers, handling billing-related inquiries via phone or email, providing clear and professional support.

Essential Functions:

• Submit and manage claims in Athena, ensuring accuracy and completeness prior to submission.
• Verify and enter charges accurately; review prior-day submissions to identify and correct any rejections promptly.
• Apply CPT and ICD-10 coding standards when processing claims.
• Serve as a first point of contact for patients or caregivers with billing questions via phone or email; resolve inquiries professionally and empathetically.
• Communicate with clinical and administrative teams to gather any missing or corrected information needed for claims.
• Post payments and reconcile accounts as assigned.
• Monitor claim status and follow up with payers to ensure prompt payment.
• Maintain compliance with HIPAA and healthcare billing regulations.

Qualifications:

• 2+ years of experience in medical billing or revenue cycle operations.
• Familiarity with Athena billing and EHR platform is strongly preferred.
• Strong understanding of billing practices, particularly for mental health or dementia care services.
• Knowledge of Medicare, Medicaid, and commercial payer billing requirements.
• Knowledge of CPT and ICD-10 coding standards.
• Demonstrated ability to research and resolve claim denials.
• Comfortable working in a high-volume, detail-driven environment.
• Excellent communication and organizational skills.
• Ability to handle sensitive patient information confidentially and in compliance with HIPAA.

What's in it for you

• Development, mentoring and training programs designed to help you chart your dream career and make sure you are learning everything you need to know as you gain more responsibility
• Fast growth company with opportunities to take on more responsibility or develop into new roles
• Flexible work environment and the opportunity to work from home
• Competitive compensation
• 401(k) plan with a company contribution
• Equity in the form of stock options
• Medical, Dental and Vision coverage for you and your family
• Life insurance and Disability
• Remote Work stipend
• Generous Paid Time Off

Pay Range Details

The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location.

Role: $19 - $25/hour depending on experience

Offer of employment is contingent upon successful completion of a background check, drug screen, and all required licensure, credentialing, and related documentation.

We are going to make some very big waves starting with a small Rippl - come join us!

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