Revenue Cycle Management Specialist - Care Navigation (Medicare/CHI/PIN)

The Role

This role is part of a new company we are actively incubating in the US care navigation space. We embed fully managed care navigation, including staffing, technology, and compliance, into provider practices so they can stand up CMS-reimbursable Community Health Integration (CHI) and Principal Illness Navigation (PIN) programs for their Medicare patients with zero upfront cost. We exist to make a brand-new Medicare benefit easy to deliver and easy to bill. This is a chance to be on the ground floor of something being built from scratch. We are hiring a Revenue Cycle Management (RCM) Specialist with hands-on, in-the-claims experience billing Community Health Integration and Principal Illness Navigation (HCPCS G0019, G0022, G0023, G0024) for Medicare beneficiaries. This is not a generic billing role. You will own the end-to-end RCM motion for Kero's care navigation services and be the person who makes sure our claims get paid clean, on time, and with zero compliance risk. ## Requirements

• 2 to 5 years of hands-on US medical billing / revenue cycle experience. - Direct, demonstrable experience billing Medicare Part B claims. Non-negotiable. - Hands-on experience with the full CHI and PIN code family: PCM: 99424–99427, CCM: 99490, 99439, 99487, 99489, TCM: 99495, 99496, BHI / CoCM: 99484, 99492–99494, RPM / RTM: 99453–99458, APCM: G0556, G0557, G0558, SDOH Risk Assessment: G0136, CCM initiating visit: G0506, RHC / FQHC general care management: G0511
• Fluent in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations. - Comfortable with EHR / PMS (like Athenahealth, eClinicalWorks, AdvancedMD, DrChrono, Epic, Cerner, Kareo, or similar). - Strong written and verbal English communication. - US work authorization. - Prior experience at a care-navigation company, digital-health platform, value-based-care provider group, or specialty practice that bills CHI / PIN at scale. Current and former employees of such organizations are encouraged to apply. ## Benefits