Revenue Cycle Specialist
Osmind
Description
About Us
Osmind is a technology, services, and data company focused exclusively on psychiatry. Mental health disorders are one of the leading causes of death worldwide and are tied to shortening lifespans. Yet, we have cause for hope: there have been developments in new psychiatric medications and treatments since the first FDA approval in 1954, including ketamine, Spravato, and neuromodulation. Now, there is a growing movement among clinicians, patients, and researchers to close the gap between this scientific innovation and better real-world care.
At Osmind, we serve a network of 1,000+ independent psychiatry practices across the country. We help these clinics effectively provide high-quality care, scale as businesses, and contribute to research with our purpose-built EHR, software solutions, clinician community, and managed services. Our providers are at the forefront of psychiatry, offering innovative interventions and treating some of the highest-acuity patients in the country.
Osmind is a San Franciscoâbased public benefit corporation backed by top investors including DFJ Growth, Future Ventures, General Catalyst, and Y Combinator.
\nAs our Revenue Cycle Specialist, your center of gravity is AR follow-up: pushing claims out the door, unclogging cash flow bottlenecks, and partnering directly with providers to address denials and rejections. You also bring PA fluency â you've had PA-specific responsibilities in a prior role, you understand the difference between medical and pharmacy benefits, and you can pick up complex PA work when the team needs it.
We operate on an industry-leading revenue cycle platform and a modern AI-native stack. You'll be expected to ramp fast, use AI as a daily tool, and bring sharp problem-solving to some of the most complex billing in healthcare.
- Own the cash side of the revenue cycle â Make sure clean claims flow without bottlenecks; address holds, edits, and rejections that prevent submission
- Unclog cash flow â 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 â Partner directly with practices to gather information, resolve issues, and prevent recurring denial patterns
- Navigate modern E&M and telehealth billing â 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 â 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 â Audit and clean up AR backlog, flag template/SOP/workflow improvements, and contribute to how the team operates
- Provider communication â Send clear, concise, professional messages to practices. Every message is one a practice can act on without follow-up
- Internal communication â Raise blockers proactively in the right channel within hours, not days. Don't bottle things up
- 3+ years of hands-on AR resolution experience â denials, rejections, appeals, aging buckets, prioritization to maximize cash
- Prior authorization experience â 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 â 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 â 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 â 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 â Availity, Navinet, PayerCompass, payer-specific portals
- AI-native â You use Claude, Gemini, or comparable tools in your daily workflow and can speak to how you've made them useful
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Interview Prep Guide
Preparation Strategy
To prepare for this role, review your experience with AR resolution, prior authorization, and revenue cycle management. Be prepared to provide specific examples of how you've handled denials and rejections, and how you've worked with providers to address billing issues. Additionally, review industry-leading revenue cycle platforms and modern AI-native stacks, and be prepared to discuss how you've used technology to improve revenue cycle management. It's also important to stay current with changing billing regulations and reimbursement policies, and to be able to communicate complex billing information to providers.
Likely Interview Rounds
- 1. Screening call~30 min
What to prep: Review your experience with AR resolution, prior authorization, and revenue cycle management. Be prepared to provide specific examples of how you've handled denials and rejections, and how you've worked with providers to address billing issues.
- What experience do you have with AR follow-up and revenue cycle management?
- How do you handle denials and rejections in a billing cycle?
- Can you describe your experience with prior authorization?
- 2. Technical~60 min
What to prep: Review industry-leading revenue cycle platforms and modern AI-native stacks. Be prepared to discuss how you've used technology to improve revenue cycle management, and how you stay current with changing billing regulations and reimbursement policies.
- How do you stay up-to-date with changing reimbursement policies and billing regulations?
- Can you walk me through your process for navigating complex billing scenarios, such as telehealth billing?
- How do you use technology, such as AI-native stacks, to streamline revenue cycle management?
- 3. Behavioral~60 min
What to prep: Review your experience working with providers and communicating complex billing information. Be prepared to provide specific examples of how you've prioritized your work, identified bottlenecks, and implemented solutions to improve revenue cycle management.
- Can you describe a time when you had to communicate complex billing information to a provider?
- How do you prioritize your work when dealing with multiple outstanding AR claims?
- Tell me about a time when you identified a bottleneck in the revenue cycle and implemented a solution to improve cash flow.
Most Likely Questions
- What experience do you have with AR follow-up and revenue cycle management?
- How do you handle denials and rejections in a billing cycle?
- Can you describe your experience with prior authorization?
- How do you stay up-to-date with changing reimbursement policies and billing regulations?
- Can you walk me through your process for navigating complex billing scenarios?
Common Pitfalls
- Lack of experience with AR resolution and prior authorization
- Inability to communicate complex billing information to providers
- Failure to stay current with changing billing regulations and reimbursement policies
- Inefficient use of technology to streamline revenue cycle management
Free Prep Resources
- • AAPC (American Academy of Professional Coders) website
- • AHIMA (American Health Information Management Association) website
- • Revenue Cycle Management certification programs