Revenue Cycle Specialist (Contract)

Midi Health is the only comprehensive virtual care clinic for women in midlife navigating perimenopause, menopause, and other common midlife health challenges. Our platform provides care designed by experts, scaled by technology, and delivered by trained and compassionate clinicians. We accept most major PPO insurance products, and we offer convenient access to clinical care through telehealth visits, 24/7 messaging, and responsible prescribing of medications, supplements, and other therapies. We’re passionately focused on improving the symptoms of women’s midlife hormone change because the current system too often leaves women misdiagnosed and undertreated. At Midi, we’re changing that. Where we’re based We are an entirely virtual company, so employees can live anywhere in the United States.  The opportunity The Revenue Cycle Specialist (Contract) plays a critical role in supporting and optimizing end-to-end revenue cycle operations, from eligibility and benefits verification through claims resolution, patient financial support, and accounts receivable management. This role goes beyond traditional billing to encompass payer interaction, patient advocacy, compliance, and continuous process improvement within a fast-growing telehealth environment. The ideal candidate brings strong analytical thinking, communication skills, and revenue cycle expertise, with the ability to partner across clinical, finance, customer experience, and operations teams to ensure accurate reimbursement and a positive patient financial experience. Position Summary Responsibilities Patient Support & Communication - Respond to patient billing and insurance inquiries via Zendesk within defined SLAs, resolving financial responsibility questions, statement disputes, and payment arrangement requests accurately and empathetically. - Place outbound calls to patients to resolve open billing issues, clarify account questions, and follow up on unresolved inquiries or disputes. - Educate patients on healthcare billing and insurance concepts — coverage, copays, deductibles, EOBs, and how telehealth services are billed — in clear, plain language. - Set up and document payment plans and arrangements in Athena in accordance with company financial policies. - Manage patient AR follow-up, including statement review, balance research, and issuing corrections, refunds, or rebills when discrepancies are identified. - Execute the patient financial discharge process, including account review, final balance resolution, and required documentation and communication steps. - Document all patient interactions in Athena and Zendesk to maintain complete, accurate account histories. Claims & Revenue Operations - Work Athena claim hold and denial queues within defined timeframes, prioritizing aged and high-value accounts to meet team resolution targets. - Research claim status, eligibility, benefits, and denial details in payer portals and Availity to resolve billing questions and support claim follow-up. - Place outbound calls to insurance payers to follow up on claim status, denials, and billing questions, documenting outcomes and reference numbers in Athena. - Coordinate with clinical teams and providers to complete documentation addendum requests from coders, tracking requests through resolution to release held claims. - Partner with credentialing to resolve claim holds tied to provider enrollment status. - Monitor and respond to payer and patient correspondence in Athena correspondence dashboards to ensure timely resolution. - Collaborate with clinical staff to identify documentation gaps and support timely note updates that enable accurate claim submission and reimbursement.  Internal Support & Collaboration - Serve as the billing and insurance subject matter expert for the Patient Experience team, answering internal questions and resolving escalations routed through Zendesk, Slack, and email. - Identify root causes of recurring denials, claim