ReKlame Health

Role Description We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care, addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. Qualifications - Experience in treating individuals with substance use disorders, such as OUD or AUD, and providing Medication-Assisted Treatment (MAT). - Adept at learning new technologies and using technology in practice. - Enjoy working in a collaborative environment that values support and mentorship. - Dedicated and able to provide patient-centered psychiatric care. - Can commit to a minimum of 20 hours per week (open 7 days a week). - Proficiency in multiple languages is a plus. Requirements - A Nurse Practitioner license in the state of New York without any restrictions (active or pending). - A Drug Enforcement Agency (DEA) certification (active or pending). - ANCC Board Certification in Psychiatry (active). What You'll Do - Psychiatric Evaluations and Medication Management: Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform. - Team-Based Collaboration: Be part of an integrated team of prescribing clinicians, nurses, and care coordinators. - Collaborative Case Conferences: Partner with the clinical and care team to assess and adapt treatment strategies for high-risk members bi-weekly. - Member Education and Health Promotion: Empower members with education on preventative practices and lifestyle habits. - Continuous Learning and Knowledge Sharing: Stay informed about the latest evidence-based psychiatric practices and share key learnings. - Thorough Recordkeeping: Maintain accurate, detailed patient records to document symptoms, treatment plans, medications, and progress. What We Offer - Work from home: Evaluate and treat members from the comfort of your own home through a telehealth video platform. - AI-Powered Tools: Lighten your documentation workload and maximize member-focused care. - Team-Based Approach: Work alongside dedicated care navigators and registered nurses. - Robust Clinical Support from Day One: Access to a collaborating psychiatrist, senior peer mentors, and a clinical mentorship program. - Supportive Community: Weekly supervision, biweekly high-risk case conferences, and unlimited access to your clinical mentor. - Mission-Driven Culture: Work alongside a passionate team driven to create positive change in mental health care. - Cultural Competence Training: Partnered with Violet, a cultural competence platform. - Growth Opportunities: Expand your expertise through personalized mentorship and continuing education. Benefits - Generous Time Off: Enjoy paid time off for vacation, sick leave, and company holidays. - Work Anywhere: Fully remote role. - Comprehensive Professional Coverage: Paid malpractice insurance. - Continuous Growth: Annual CME budget and a custom-built clinical content library. - And more.

About ReKlame Health Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. About the Role We are seeking a detail-oriented Coding & RCM Specialist to support accurate coding and clean claims submission in a complex Medicaid and managed-care environment. This is a hands-on, production-focused role centered on CPT and ICD-10 coding accuracy and documentation review. You will partner with Revenue Cycle, Clinical Operations, and Finance to ensure services are coded correctly, documentation supports billed services, and common denial risks are caught early. This role is ideal for someone with 3–5 years of coding experience who enjoys detail-oriented work, pattern recognition, and improving claim quality through consistent execution. Key Responsibilities - Coding & Claim Accuracy - Own CPT/ICD-10 coding and strategy across psychiatry and medication management, with a focus on high-acuity and complex patient populations. - Review clinical documentation (eg SOAP notes) and supporting information to ensure clean claim submission. - Improve first-pass claim acceptance by proactively ensuring correct coding, flagging inconsistencies, and documenting gaps for correction. - Audit & Quality Review Support - Perform pre-bill and post-pay audits on a rolling basis. - Review EOBs and denial trends to identify recurring coding issues. - Document audit findings using structured templates and tracking tools. - Flag systemic risks to improve the process and escalate high-risk patterns or unusual payer behavior when necessary. - RCM Collaboration - Work closely with billing team members, senior management, and vendors to resolve claim issues. - Support coding corrections and resubmissions, provide clarification, and maintain internal reference guides for other team members when necessary. - Compliance & Coding Standards - Ensure compliance and alignment with CMS, state Medicaid, and managed-care guidelines. - Monitor changes in payer policies and stay up to date on behavioral health and psychiatry guidelines. - Partner with the credentialing and billing teams on implementing new payer contracts and RCM workflows. You will love this role if: - Certifications: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). - Technical Skills: Advanced proficiency with ICD-10, CPT, and HCPCS coding systems. Experience working with EHR systems, clinical notes, and medical billing software required. - Experience working with RCM and billing vendors is a strong plus. - Experience: Minimum of 3-5 years of professional experience in medical coding and billing required. - Strong preference for candidates with experience in behavioral health coding and expertise in Medicaid and managed-care systems. - Detail-Oriented: Exceptional accuracy and attention to detail in coding/billing and documentation. - Regulatory Knowledge: Strong understanding of HIPAA and healthcare compliance guidelines, with the ability to adapt to changing regulations. - Experience with denial resolutions, coding audits, and QA review preferred. - Problem-Solving Expertise: Analytical mindset with the ability to address complex challenges, identify solutions, and implement improvements with speed and accuracy. Must be comfortable with EOBs, patterns, and payer behavior. If you’re hungry for a challenge in 2026, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam. ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach. ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees. If you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam.

About ReKlame Health Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. Care Navigator Role (Remote - Philippines) As a Care Navigator, your main goal will be to give our clients the best experience possible by being the welcoming face of the company. You will schedule appointments, help clients in the onboarding process, answer client questions and concerns, and do other tasks that support our clinicians as they support our clients. Your role at ReKlame Health would include: - Contracting 40 hours a week on tasks assigned to you according to the job description - Manage office telephone system, including answering incoming calls and returning messages - Scheduling appointments for our clients and practitioners - Close monitorization for last minute rescheduling of appointments for therapy; ensure clients are booked for their next appointment. - Managing clinician calendars - Entering client personal health information and other clinical data - Conduct high-risk screenings - Run prescription history reports through prescription monitoring platform - Eligibility checks for prescription refills - Locating pharmacies in the event medication is out of stock at the patient’s usual pharmacy - Submitting lab requests (EKG, psychological, pharmacogenetic, etc) - Responding to prior authorization, form, letter and other paperwork requests - Collaborating care with external providers - Monitor and help facilitate client onboarding, ensuring client intakes are submitted and fully completed prior to the first visit - Other tasks associated with this position You’ll love this role if: - Superb Communicator: Excellent verbal and written communication. - Tech and Data-Savvy: Easily picks up on unfamiliar technologies and thrives to organize, analyze and plug in data. - Compassionate: Naturally compassionate and empathetic to patients needing mental health care. - Scrappy Problem Solver: Enthusiasm for operating in an early-stage startup, using limited resources efficiently to create outsized results. - Mission-Driven: Dedicated to increasing access to mental health and substance use treatment for those in need. - Open to providing support on the weekends (I.e. weekly schedule of Wed-Sun, Thurs - Mon, etc.) What We Offer You: - Be a part of a mission-driven mental health startup and play a direct role in changing the lives of countless individuals. - Collaborate with a team of like-minded leaders to support your growth along the way - A robust training program - Remote work setting - Opportunity to earn performance-based bonuses in recognition of your contributions and commitment to our mission. - Opportunity for upskilling, professional development, and general growth within the organization. We look forward to finding someone who is passionate about mental health and helping clients find the right fit to begin or continue their journey to complete mental health. We hope to hear from you soon! ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach. ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees. If you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam.

About ReKlame Health Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. Medical Assistant Role (Remote) As a Medical Assistant, your main goal will be to provide comprehensive support to the Care team, which includes both providers and care navigators. Your role at ReKlame Health would include: - Contracting 40 hours a week on tasks assigned to you according to the job description - Calendar management - Data entry and record maintenance - Generating and utilizing specialized reports - Backend support for the Care team - Other tasks assigned to you by the Care Navigator Lead You’ll love this role if: - Superb Communicator: Excellent verbal and written communication. - Tech and Data-Savvy: Easily picks up on unfamiliar technologies and thrives to organize, analyze and plug in data. - Compassionate: Naturally compassionate and empathetic to patients needing mental health care. - Scrappy Problem Solver: Enthusiasm for operating in an early-stage startup, using limited resources efficiently to create outsized results. - Mission-Driven: Dedicated to increasing access to mental health and substance use treatment for those in need. What We Offer You - Be a part of a mission-driven mental health startup and play a direct role in changing the lives of countless individuals. - Collaborate with a team of like-minded leaders to support your growth along the way - A robust training program - Remote work setting - Opportunity to earn performance-based bonuses in recognition of your contributions and commitment to our mission. - Opportunity for upskilling, professional development, and general growth within the organization. We look forward to finding someone who is passionate about mental health and helping clients find the right fit to begin or continue their journey to complete mental health. We hope to hear from you soon! ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach. ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees. If you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam.

About ReKlame Health Sixty million adults experience mental health challenges in the United States, yet one-third lack access to proper care. Opioid overdose is the number one cause of death for people under 50 in the United States. We are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Our vision at ReKlame Health is to create a future where individuals who have historically been unable to access the care they deserve can readily obtain high-quality behavioral health and addiction care. At ReKlame Health, it goes beyond mere employment; it's about becoming a part of a formidable movement transcending individuality. Let's unite and forge a world where health equity and effortless access to exceptional mental healthcare can co-exist. About the Role We are seeking a detail-oriented Coding & RCM Specialist to support accurate coding and clean claims submission in a complex Medicaid and managed-care environment. This is a hands-on, production-focused role centered on CPT and ICD-10 coding accuracy and documentation review. You will partner with Revenue Cycle, Clinical Operations, and Finance to ensure services are coded correctly, documentation supports billed services, and common denial risks are caught early. This role is ideal for someone with 3–5 years of coding experience who enjoys detail-oriented work, pattern recognition, and improving claim quality through consistent execution. Key Responsibilities Coding & Claim Accuracy Own CPT/ICD-10 coding and strategy across psychiatry and medication management, with a focus on high-acuity and complex patient populations. Review clinical documentation (eg SOAP notes) and supporting information to ensure clean claim submission. Improve first-pass claim acceptance by proactively ensuring correct coding, flagging inconsistencies, and documenting gaps for correction. Audit & Quality Review Support Perform pre-bill and post-pay audits on a rolling basis. Review EOBs and denial trends to identify recurring coding issues. Document audit findings using structured templates and tracking tools. Flag systemic risks to improve the process and escalate high-risk patterns or unusual payer behavior when necessary. RCM Collaboration Work closely with billing team members, senior management, and vendors to resolve claim issues. Support coding corrections and resubmissions, provide clarification, and maintain internal reference guides for other team members when necessary. Compliance & Coding Standards Ensure compliance and alignment with CMS, state Medicaid, and managed-care guidelines. Monitor changes in payer policies and stay up to date on behavioral health and psychiatry guidelines. Partner with the credentialing and billing teams on implementing new payer contracts and RCM workflows. You will love this role if: Certifications : Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Technical Skills : Advanced proficiency with ICD-10, CPT, and HCPCS coding systems. Experience working with EHR systems, clinical notes, and medical billing software required. Experience working with RCM and billing vendors is a strong plus. Experience : Minimum of 3-5 years of professional experience in medical coding and billing required. Strong preference for candidates with experience in behavioral health coding and expertise in Medicaid and managed-care systems. Detail-Oriented : Exceptional accuracy and attention to detail in coding/billing and documentation. Regulatory Knowledge : Strong understanding of HIPAA and healthcare compliance guidelines, with the ability to adapt to changing regulations. Experience with denial resolutions, coding audits, and QA review preferred. Problem-Solving Expertise: Analytical mindset with the ability to address complex challenges, identify solutions, and implement improvements with speed and accuracy. Must be comfortable with EOBs, patterns, and payer behavior. Compensation Package: Annual Compensation: $60,000-85,000 (full-time) Full Health Benefits : Medical, dental, and vision Paid Time Off (PTO) : 21 days of paid time off, including vacation and sick leave. Professional Development : Unlock growth opportunities within a purpose-driven early-stage organization dedicated to creating a positive impact. ReKlame Health considers several factors to ensure a fair and competitive offer when evaluating compensation packages. These include the scope and responsibilities of the role, the candidate's work experience, education, and training, as well as their essential skills. Internal peer equity is also examined to maintain balance within the organization. Additionally, current market conditions and overall organizational needs are crucial in shaping the final offer. Each aspect is thoughtfully reviewed before extending an offer, ensuring a comprehensive and equitable approach. ReKlame Health is an equal opportunity employer. We celebrate diversity and are committed to creating a supportive and inclusive environment for all employees. If you’re hungry for a challenge in 2025, love solving problems, and want to be a part of something transformational, we’d love to hear from you! Learn more about us at www.ReKlamehealth.com *We never ask for money or sensitive personal information during the job application process. If you receive an email or message claiming to be from us that requests such information, please do not respond and report it as a scam.