Cartwheel
Healthcare
SeniorRevenueCycleSpecialist
Neural analysis suggests this role is
optimal for Senior candidates.
“Senior Revenue Cycle Specialist at Cartwheel. Skills: Revenue cycle, Denials management, AR management. Own full AR cycle. Manage aging AR”
What You'll Achieve.
Improve clean claim rates
Industry & Context.
Root cause analysis; Investigate billing issues; Implement fixes
What They're Looking For.
Must Have
3+ years Billing Specialist experience, 1+ years behavioral health billing, Deep expertise denials management, Deep expertise appeals, Deep expertise corrected claims, Deep expertise AR follow-up, Working knowledge healthcare billing regulations, Working knowledge payer requirements, Working knowledge compliance standards, Proven ability identify billing issues, Proven ability investigate root causes, Proven ability implement fixes, Experience payment posting, Experience cash reconciliation, Experience resolving payment discrepancies
Nice to Have
Experience with Apero EMR, Experience with Healthie EMR, Massachusetts CANS experience
What You'll Do.
Own rejections recovery
Investigate root causes
Submit corrected claims
Improve clean claim rates
Investigate claim denials
Resolve claim denials
Investigate claim rejections
Resolve claim rejections
Review Massachusetts CANS assessments
Validate Massachusetts CANS assessments
Submit Massachusetts CANS assessments
Serve as subject matter expert
Analyze denial patterns
Analyze reimbursement activity
Drive process improvement
Identify operational improvements
Lead operational improvements
Enhance billing efficiency
Enhance revenue recovery
Enhance member experience
How You'll Work.
Team & Collaboration
Payer follow-up; Member inquiries; Clinical teams; Operations teams
Full Job Description
Join Cartwheel to help tackle the student mental health crisis. Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means: Earlier intervention Higher student and family engagement in care Better coordination among the trusted adults in a student’s life Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team. ABOUT THE ROLE Since our founding in 2022, we have grown to serve more than fifty school districts across six states, providing care to thousands of students and families. Cartwheel processes a high and growing volume of behavioral health claims across three revenue streams — school district partners, health plans, and members. Without dedicated support, denial and rejection recovery opportunities go unworked and result in preventable revenue loss. This role exists to close that gap. As our Senior Revenue Cycle Specialist, you'll own the workflows that directly protect Cartwheel's bottom line: investigating and resolving denials and rejections, submitting corrected claims and appeals, managing aging AR, and keeping payer follow-up moving as claim volume grows. You'll also serve as the internal expert on billing compliance and payer requirements across all three revenue streams. This role is right for a senior behavioral health billing professional who sees a significant denial and rejection backlog as an opportunity — someone who digs into root causes,
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