Senior Billing Specialist / Coding / Revenue Cycle Lead (Remote – U.S. Healthcare) at DrHouse, Inc.

About DrHouse
DrHouse is a leading telemedicine provider revolutionizing the way patients access healthcare. We believe in fast, affordable, and high-quality virtual care that puts patients first. As we continue to grow and expand our services, we are looking for a Senior Billing Specialist / Revenue Cycle Lead to oversee our billing operations and lead our billing team.

Position Overview
We are seeking an experienced and highly motivated Senior Billing Specialist / Revenue Cycle Lead with a proven track record in managing end-to-end medical billing processes and leading billing teams. The ideal candidate will have a minimum of 5 years of experience in U.S. healthcare billing and revenue cycle management, including hands-on experience with major payers such as Humana, Aetna, BCBS, UHC, Medicare, and Anthem.
This leadership role will be responsible not only for managing the full revenue cycle but also for overseeing, mentoring, and guiding the entire billing team to ensure operational efficiency, compliance, and optimal reimbursement.

Key Responsibilities

• Lead, supervise, and support the billing team to ensure timely and accurate execution of all billing and revenue cycle activities.
• Manage and oversee the entire healthcare revenue cycle: patient intake validation, insurance verification, charge entry, claim submission, payment posting, denial resolution, and collections.
• Establish team workflows, performance metrics, and quality assurance protocols.
• Conduct regular team meetings, training, and one-on-one coaching to ensure continued growth and development.
• Monitor and resolve escalated or complex billing and claims issues.
• Develop and implement strategies to improve revenue collection, reduce denials, and optimize cash flow.
• Serve as the primary point of contact for payer relationships (Humana, Aetna, BCBS, UHC, Medicare, Anthem).
• Stay current with federal/state billing regulations, payer policy changes, and industry best practices.
• Collaborate cross-functionally with internal departments including clinical, compliance, and product teams.
• Analyze billing data and prepare regular reports on key revenue cycle KPIs for senior leadership.

Required Qualifications

• Minimum of 3 years of experience in medical billing and revenue cycle operations.
• Proven leadership experience managing billing teams or revenue cycle departments.
• Extensive knowledge of payer billing requirements, especially Humana, Aetna, BCBS, UHC, Medicare, and Anthem.
• Strong command of CPT/ICD-10 coding, billing workflows, and denial resolution.
• Experience with EHR and practice management systems; familiarity with clearinghouses.
• Deep understanding of HIPAA, CMS rules, and insurance reimbursement protocols.
• Excellent communication, leadership, and team management skills.
• High attention to detail, analytical thinking, and problem-solving ability.

Preferred Qualifications

• Experience in a fast-paced telehealth or digital healthcare environment.
• Knowledge of Medicaid billing across multiple U.S. states.
• Certified Professional Biller (CPB), Certified Revenue Cycle Representative (CRCR), or equivalent certification.
• Experience scaling billing teams in growing organizations.

What We Offer

• A fully remote, flexible work environment.
• Competitive compensation based on experience.
• The opportunity to shape and lead a critical function within a rapidly growing digital health company.
• A mission-driven team committed to transforming access to care.
• Growth and advancement opportunities within the organization.