Revenue Cycle Specialist

JotPsych makes software for behavioral health clinicians. Our scribe has drafted more than 2.5 million patient notes. We're now building the next generation of revenue cycle management for psychiatry and behavioral health through JotBill (billing) and JotCred (credentialing), and we need skilled specialists in Latin America to run it.

We're hiring two to three Revenue Cycle Specialists to own billing and credentialing end-to-end for a dedicated set of provider customers.

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The role

You'll own two critical functions for our behavioral health customers:

• Billing. Submit clean claims, work denials, post payments, and drive collections for psychiatry and behavioral health practices.
• Credentialing. Enroll providers with insurance payers, manage CAQH profiles, navigate payer portals, and follow up relentlessly until every application is approved.

You'll work inside JotCred, our credentialing platform that automates document collection, verification, checklist management, and task generation, so you can focus on execution and follow-through rather than hunting for templates or re-entering data across 15 portals.

What you'd own

Billing

• Submit clean, accurate claims for behavioral health and psychiatry practices, including psychiatric NPs and psychiatrists
• Manage the full claim lifecycle from charge entry through final payment, catching issues before they cause denials
• Ensure claims go out with correct CPT codes, modifiers, diagnosis codes, place of service, and payer-specific requirements
• Work denials end-to-end: research root causes, write appeals, follow up until resolution
• Verify patient eligibility and benefits prior to claim submission
• Monitor ERA/EFT activity, reconcile payments, flag discrepancies, post insurance and patient payments

Credentialing

• Onboard new providers: collect documents, build credentialing checklists, verify completeness
• Register and maintain CAQH ProView profiles, including attestation every 120 days
• Submit payer enrollment applications across commercial payers (Aetna, Anthem, Cigna, UHC, Humana, Premera), Medicare (PECOS), and state Medicaid programs
• Set up EFT/ERA with each payer
• Perform primary source verification: licensing boards, DEA, OIG/SAM exclusion lists, NPDB, board certification, malpractice insurance, education
• Monitor document expiry dates and coordinate renewals before they lapse

Follow-up and escalation

• Execute systematic 14-day follow-up cycles on all pending applications. This is roughly 80% of the credentialing job.
• Escalate stalled applications through a defined ladder: polite follow-up, supervisor requests, formal escalation letters, state insurance department complaints when necessary
• Document every payer interaction: who you spoke with, what they said, reference number, next step, next follow-up date

Who you probably are

• 10+ years of US medical billing and/or credentialing experience, with direct exposure to behavioral health and psychiatry. Not just therapy. Psychiatric NP and psychiatrist billing specifically.
• Hands-on with US payer portals: Availity, CAQH ProView, PECOS, state Medicaid portals, and commercial payer sites.
• Strong working knowledge of psychiatric CPT codes: intake (90791, 90792), E/M (99212–99215), psychotherapy (90832, 90834, 90837), and add-ons (90833, 90836, 90838).
• You work denials to resolution. Root cause, appeal, follow-through. You enjoy unsticking a stalled application and then figuring out why it stalled.
• You can manage 60 to 90+ concurrent credentialing tracks without letting a follow-up slip.
• Fluent English, spoken and written. You'll be on calls with US payers and writing appeals.
• 4+ hours of daily overlap with US Eastern Time.

Nice to have

• Experience with credentialing from scratch, not just re-credentialing
• Familiarity with Notion, Slack, and modern SaaS tools
• Prior experience working remotely for US healthcare companies

Logistics

• Fully remote, open to candidates anywhere in Latin America (Colombia, Mexico, Argentina, Brazil, Chile, Costa Rica, beyond).
• Contract: $2,000 to $3,500 USD/month, depending on experience and scope.
• 30 to 40 hours/week.
• 4+ hours of daily overlap with US Eastern Time required.
• Reliable internet and a quiet workspace for payer phone calls.
• Path to full-time conversion based on performance and mutual fit.