PocketRN Inc
PocketRN is the first telehealth startup built specifically for nurse-led care, with a mission to close the gap between home and healthcare by enabling patients to meet virtually with specialized nurses. We have a phenomenal team and an exceptional investor group of healthcare-focused VCs and former and current CEOs of top public healthcare companies.
The Medical Billing Specialist plays a critical role in managing the end-to-end billing and reimbursement processes for PocketRN.
The Medical Billing Specialist will support the submission of claims to CMS, track reimbursements, reconcile accounts receivable activity, and assist with monthly financial analyses related to billing, accruals, and journal entries. This position is also responsible for maintaining accurate cash flow projections, with a particular focus on tracking inflows and outflows associated with the GUIDE respite program, which operates as a pass-through payment model. This role is critical to improving the Company’s cash flow and supporting our continued growth.
In addition, this position is responsible for supporting partner onboarding and payment setup through the billing platform, monitoring payment activity, reconciling discrepancies, and ensuring accurate and timely billing operations. The role works closely with the Partner Relationship Management team to provide updates on payment status, billing inquiries, and reimbursement tracking.
The Medical Billing Specialist will contribute to annual audit and reconciliation activities to ensure Medicare reimbursements align with Partner payments and internal financial records. This role is ideal for a detail-oriented professional who thrives in a fast-paced startup environment and is passionate about supporting operational and financial excellence in healthcare.
Full Time, Monday - Friday 9:00 AM - 5:00 PM
The essential functions include, but are not limited to the following:
Manage the full-cycle billing process for PocketRN programs and services, including claim submission, payment posting, reconciliation, and reporting.
Submit and monitor claims to CMS and other payers to ensure timely reimbursement and resolution of claim denials or discrepancies.
Coordinate onboarding and setup of Partners within bill.com and maintain accurate vendor and payment records.
Track payment statuses, follow up on outstanding balances, and reconcile accounts receivable activity against billing records.
Collaborate closely with the Partner Relationship Management team to provide timely updates regarding payments, reimbursement status, and billing inquiries.
Prepare and maintain accurate billing documentation, accruals, journal entries, and monthly financial analyses related to billing and collections.
Support cash flow forecasting activities by updating projected inflows and outflows in real time, with a particular focus on respite program payments.
Monitor and track cash movement for the GUIDE respite program to ensure accurate reporting and compliance with pass-through payment requirements.
Assist in month-end and year-end close processes related to billing, receivables, and reimbursement activities.
Lead annual reconciliation and audit activities to true up Medicare reimbursements against Partner payments and internal financial records.
Maintain compliance with applicable healthcare billing regulations, payer requirements, and company policies.
Identify opportunities to improve billing workflows, reporting accuracy, and operational efficiency.
Support additional finance and billing-related projects and responsibilities as assigned.
Bachelor’s degree in Finance, Accounting, Healthcare Administration or other related field preferred.
2-5+ years experience in billing, accounts receivable, or healthcare finance required; medical billing experience strongly preferred.
Experience working with CMS/Medicare billing and reimbursement processes preferred.
Familiarity with payment systems such as bill.com
Advanced Microsoft Excel and/or Google Sheets skills (including formulas, pivot tables, financial tracking, etc.)
Attention to detail
Strong organizational and time management abilities
Effective communication skills with both external and internal stakeholders
Ability to work independently and collaboratively
Adaptability in a rapidly evolving startup environment
Customer service mindset and professional demeanor
PocketRN is a rapidly growing startup healthcare company making innovative strides in the industry. This role offers the opportunity to directly support the success and growth of the organization while helping improve access to nurse-led virtual care. You’ll work alongside a passionate, mission-driven team backed by experienced healthcare investors and industry leaders committed to transforming care delivery.
