(Remote) Mental Health Revenue Cycle / Medical Billing Coordinator - Full Time

Who We Are

Rivia Mind is a tele-behavioral Mental Health and Well-being Practice based in NYC, with services across New York, New Jersey, Connecticut and Florida. We are an interdisciplinary group of psychiatry and psychology providers, supportive operational staff and contributors who focus on delivering accessible, reliable, and quality evidence-based holistic treatment. We primarily see adult patients and deliver diverse services, including psychopharmacology, psychotherapy, and specialty offerings. We have a dynamic team to address people’s needs beyond just medication management. Our employees operate in a collegial atmosphere with collaborative team dynamics and mutual self-improvement opportunities. Here, we foster a culture of respect, diversity, and inclusion for all. Our employees are actively engaged by a culture that reinforces our beliefs and is guided by our mission, vision and values. To learn more about our Practice, please check our website at www.riviamind.com.

Job Summary

Under the direct supervision of the Revenue Cycle Supervisor, the Revenue Cycle Coordinator serves as a key support role within the billing department. This position contributes to claim processing, denial resolution, insurance follow-up, and patient invoicing. It also plays a critical role in handling communication across billing channels including emails, phone calls, and chat messages, with an emphasis on timely and professional follow-through. The Coordinator leverages prior billing experience to help maintain accuracy, efficiency, and responsiveness across all core revenue cycle functions. 

Job Responsibilities & Qualifications

Responsibility Composition

50% - Claims processing (submissions, rejections, denials, payment review)

30% - Communication handling (patient/provider emails, phone calls, internal chats, follow-up research)

10% - Eligibility troubleshooting and insurance-related support tasks

10% - Ad hoc projects and cross-functional support

Responsibilities

• Prepare, review, and transmit claims using billing software in an accurate and timely manner
• Support insurance eligibility troubleshooting by flagging inconsistencies or missing information for resolution
• Follow up on denied or rejected claims, including supporting the collections process in accordance with department standards
• Support patient invoice procedures, including billing inquiries and basic account clarification
• Review and validate claims for completeness, coding accuracy (CPT/ICD-10), and payer-specific rules before submission
• Monitor claims for timely filing deadlines and escalate any risks to the Revenue Cycle Supervisor
• Effectively utilize the EMR system (IntakeQ) and other platforms to support claim, payment, and patient account workflows
• Investigate billing discrepancies and errors, and assist with resolution of denied claims when appropriate
• Check each insurance payment for accuracy and compliance with contracted rates; call payers to address discrepancies if necessary
• Flag potential secondary insurance coverage for further review or follow-up
• Escalate complex denial trends, unresolved claim issues, or recurring payer discrepancies to the Senior Revenue Cycle Specialist or Supervisor
• Collaborate with the Revenue Cycle Supervisor and Specialists to provide support as needed (e.g., special projects, ad-hoc reports, process improvements)
• Collaborate cross-functionally with other operational teams to support efficient billing workflows and issue resolution
• Assist with specialty focus areas (e.g., mailed correspondence, provider coordination) as needed to maintain workflow continuity
• Provide responsive support to patients, providers, and internal departments by managing billing-related phone calls, emails, and chat inquiries; ensure timely and accurate resolution in line with department standards
• Maintain compliance with HIPAA, insurance billing guidelines, and all internal processes
• Adhere to department Standard Operating Procedures (SOPs) and contribute to continuous improvement efforts
• Promote a collaborative work culture that supports growth, teamwork, and continuous learning
• Expected to contribute to weekly claims submission and denial resolution goals as set by the Revenue