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 Francisco–based public benefit corporation backed by top investors including DFJ Growth, Future Ventures, General Catalyst, and Y Combinator.
Role Overview
As 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 — 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.
What You'll Do
- Own the cash side of the revenue cycle — Make sure clean claims flow without bottlenecks; address holds, edits, and rejections that prevent submission
- Unclog cash flow — 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 — Partner directly with practices to gather information, resolve issues, and prevent recurring denial patterns
- Navigate modern E&M and telehealth billing — 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 — 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 — Audit and clean up AR backlog, flag template/SOP/workflow improvements, and contribute to how the team operates
- Provider communication — Send clear, concise, professional messages to practices. Every message is one a practice can act on without follow-up
- Internal communication — Raise blockers proactively in the right channel within hours, not days. Don't bottle things up
What We're Looking For
- 3+ years of hands-on AR resolution experience — denials, rejections, appeals, aging buckets, prioritization to maximize cash
- Prior authorization experience — 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 — 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 — 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 — 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 — Availity, Navinet, PayerCompass, payer-specific portals
- AI-native — You use Claude, Gemini, or comparable tools in your daily workflow and can speak to how you've made them useful
- Startup energy — You're excited by pace, ownership, and the chance to shape process rather than inherit it
- Open, direct communication style — Comfortable raising blockers fast, asking clear questions, giving and receiving direct feedback
- US-based, eligible to work in the US without sponsorship
Strong Pluses
- Specialty experience — Interventional psychiatry (TMS, Spravato, ketamine), oncology, infusion, immunology, or comparable high-cost-drug specialty billing. Especially valuable given the PA complexity and RCM-specific challenges we work through daily
- Candid Health experience
- CoverMyMeds and/or Spravato withMe (or comparable PA-requesting platform) experience
- Notion, Slack, Pylon experience
- Documented startup or scale-up experience
How to Apply
In your application, please include a short response (4–6 sentences) to the following:
Pick one denial type, payer policy quirk, or PA hurdle that has personally frustrated you in the last 6 months — something you remember the specifics of. Tell us: what was the situation (name the payer, the CPT/HCPCS code or drug, and the specific denial reason or policy hurdle), what did you try first that didn't work, and what eventually got it resolved?
We read these carefully. They tell us how you communicate and how you think through a problem.
This is a remote, full-time W-2 role open to candidates anywhere in the United States.
