--- title: 'Denials & AR Recovery Specialist at Mochi Health' canonical: 'https://feeny.ai/job/denials-ar-recovery-specialist-mochi-health-san-francisco-sv328g1bg3ng' type: 'job' last_seen: '2026-11-09' --- # Denials & AR Recovery Specialist at Mochi Health - **Company:** Mochi Health - **Location:** San Francisco, CA - **Posted:** 2026-11-05 - **Last confirmed live:** 2026-11-09 - **Apply:** https://job-boards.greenhouse.io/mochihealth/jobs/5474972008 ## Job description Healthcare is broken at the first step: patients can't find the right care, understand what it costs, or access the medications they need. Mochi Health is fixing this. We're building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications. Over the past few years, we've grown rapidly by combining clinical expertise with technology that actually works for real people, not just hospital systems. Our platform does what legacy healthcare can't: it gives patients transparent pricing before they pay, personalized medication management that follows them across providers, and long-term access to their own medical records. We're proving that healthcare can be more affordable, more human, and far more intuitive than what exists today. Join a team that's rebuilding healthcare from the patient up. At Mochi Health, you'll work alongside people who value bold thinking, inclusive collaboration, and getting meaningful work into the world. If you want to do the most impactful work of your career, this is where to do it. ## About the role We are a fast-growing telehealth company building out a dedicated insurance team to keep pace with rapid patient growth. Today our billing and coding is handled in-house with a strong front-end review process. As claim volume scales, we need a dedicated owner for the back end of the revenue cycle: the claims that come back denied, rejected, underpaid, or stuck with the payer. The Denials & AR Recovery Specialist owns the recovery of insurance revenue that does not get paid cleanly on the first pass. You will work denied and underpaid claims to resolution, file appeals within payer deadlines, follow up on aging accounts receivable, and feed denial patterns back to the coding team so preventable denials stop at the source. This is a hands-on, metrics-driven role with a direct and measurable impact on cash collected. ## What you will do Denial resolution and appeals: - Work daily queues of denied, rejected, and underpaid claims, prioritizing by dollar value and by timely-filing and appeal deadlines. - Review remittances (ERAs and EOBs) and interpret CARC and RARC denial codes to determine the true root cause of each denial. - Prepare and submit payer-compliant appeals supported by clinical documentation, medical necessity rationale, and payer policy or contract language. - Correct and resubmit claims where the issue is a billing, coding, demographic, or eligibility error, routing coding questions to the coding team. - Track every claim through to resolution rather than resubmitting and moving on. Accounts receivable follow-up - Monitor and work aging AR, following up with payers by portal, phone, and written correspondence until accounts are resolved. - Identify and pursue underpayments against expected allowed amounts and contracted rates. - Escalate systemic payer issues (recurring denials, payer processing errors, contract disputes) to the RCM Lead with supporting data. Root-cause and prevention - Categorize denials by reason, payer, provider, and CPT code, and surface the top recurring drivers each month. - Partner with the coding and billing team to fix denial causes upstream, so the first-pass clean-claim rate improves as volume grows. - Flag any coding or documentation patterns that could create compliance or audit exposure, including E&M level and modifier issues. Reporting and documentation - Document all activity, notes, and outcomes in the billing system accurately and in real time. - Report on denial rate, denial dollars recovered, appeal success rate, and days in AR, and contribute to weekly team reviews. - Maintain patient and health information in line with HIPAA and company privacy and security policies. ## What we are looking for Required: - 2+ years of medical billing, claims, denials, or AR follow-up experience, ideally including commercial payer appeals. - Working knowledge of the full revenue cycle and of CPT, ICD-10, and HCPCS coding concepts (you do not need to be a coder, but you must read and reason about claims). - Ability to read remittances and act on CARC/RARC denial codes, knowing the correct next step for each (appeal, correct and resubmit, write off, escalate). - Familiarity with payer portals, clearinghouses, and billing or practice-management systems. - Comfort with spreadsheets for tracking, prioritizing, and reporting on claim work. - Strong written communication for appeal letters, and persistence and attention to detail under deadline pressure. - High school diploma or equivalent. Preferred: - Experience in telehealth, primary care, or a high-volume E&M billing environment. - A billing or revenue cycle credential such as CPB (AAPC) or CRCR (HFMA); a coding credential (CPC) is a plus for coding-related denials. - Associate or bachelor's degree in healthcare administration, business, or a related field. - Experience identifying denial trends and driving upstream process fixes, not just reworking claims. ## How we will measure success In the first 90 days you will ramp on our payers, systems, and denial mix. Ongoing success is measured by: - Denial dollars recovered and appeal overturn rate. - Reduction in days in AR and in the aged AR backlog. - A falling first-pass denial rate, driven by the prevention patterns you surface to the coding team. - Timely-filing and appeal deadlines consistently met, with no revenue lost to missed windows. Working here This is an in-person role based in our office. You will sit alongside the coding and billing team, which is what makes the prevention loop work: denials you resolve translate directly into cleaner claims going out the door. As the insurance team grows, strong performers in this role are well positioned to specialize further or to move into a senior or lead denials position. ## Compensation Annual Compensation for this role is $80,000 - $100,000 Workplace Policy Mochi Health is an in-person company based in San Francisco, CA. Our team works together in person five days a week to foster collaboration, innovation, and strong connections. We believe that face-to-face interaction builds a culture of excellence and allows us to deliver the best outcomes for the patients and providers we serve. ## Equal Opportunity Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit. We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic. We prohibit any form of discrimination or harassment. This policy applies to all terms and conditions of employment, including hiring. Candidate Privacy Notice Please review Mochi Health's Candidate Privacy Notice [here](https://joinmochi.com/candidate-privacy-notice). Accommodations Mochi Health complies with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local laws. We will reasonably accommodate qualified individuals with a disability during the application process and throughout employment as required by law. If you need any assistance or accommodations due to a disability, please contact us at hr@joinmochi.com. ## About Mochi Health ## Company Overview - **One-liner**: Mochi Health is a telehealth platform that connects members with board-certified doctors and registered dietitians for personalized, ongoing care in weight management, skin, hair, mental health, and more. - **Entity Type**: Private (Bootstrapped – operates without VC constraints) - **Headquarters**: San Francisco, California, USA - **Founded**: Not publicly available - **Founders**: Myra Ahmad (Founder & CEO) ## Core Business - **Primary industry**: Telehealth / Digital Health - **Target customers**: B2C (individuals seeking weight loss, dermatology, mental health, sexual health, and wellness care) - **Mission**: To create a more thoughtful healthcare experience that is accessible, human, and designed around real life. ## Products & Services - **Mochi Membership**: A subscription that provides unlimited access to a physician and care team, personalized treatment plans, nutrition coaching with a registered dietitian, in-app messaging, and 24/7 support. Membership starts at $39 for the first month (medication cost not included). Covers 120+ health goals and conditions including weight loss, menopause, longevity, skincare, mental health, hair loss, and sexual health. - **GLP-1 & Other Treatments**: Doctor-prescribed medications (e.g., GLP-1s) coordinated through trusted pharmacy partners and shipped to the patient’s door. - **Provider Network**: 400+ board-certified doctors and dietitians specializing in obesity medicine, family medicine, internal medicine, and more. ## Market Standing - **Valuation/Market Cap**: Not disclosed (bootstrapped) - **Key Metric**: “Hundreds of thousands of patients served” ([joinmochi.com/careers](https://joinmochi.com/careers)) - **Notable Investors/Partners**: None disclosed (operates without VC constraints) - **Growth Signals**: Fast-growing startup with 75 U.S.-based employees (as of April 2025); actively hiring across engineering, data, marketing, operations, and legal; Great Place to Work® certified with 78% of employees calling it a great workplace. ## Competitive Advantages - **Personalized, long-term care**: Treatment plans are tailored by board-certified providers and dietitians, not automated protocols. - **Ongoing support**: Unlimited access to care team, nutrition coaching, and 24/7 messaging – not transactional visits. - **Broad condition coverage**: 120+ health goals under one membership (weight, skin, hair, mental health, sexual health, menopause, etc.). - **No hidden fees & cancel anytime**: Transparent pricing with no surprise charges. - **Bootstrapped independence**: “Without VC constraints” allows the company to prioritize patient outcomes over investor demands. ## Strategic Focus - **Expand personalized holistic care**: Continue building treatment pathways across more health conditions and goals. - **Scale the provider network**: Grow the roster of board-certified doctors and dietitians to meet patient demand. - **Deepen technology platform**: Enhance in-app coaching, messaging, and treatment delivery to improve the patient experience. - **Talent acquisition**: Hiring aggressively in engineering, data, marketing, and operations to support growth. ## Why Work Here - **Culture**: Certified Great Place to Work® (78% of employees say it’s a great workplace). Values inclusivity, diversity, and continuous learning. “We move fast, innovate boldly, and make a real impact.” - **Compensation**: Top-tier salary and generous equity package; 401(k) with company match; fully covered life insurance. - **Benefits**: High-coverage medical, vision, and dental; unlimited PTO and generous company holidays. - **Perks**: Daily breakfast, lunch, and dinner every weekday; on-site espresso bar with matcha and coffee; frequent office hangouts and meetups. - **Work Environment**: Vibrant office in the heart of San Francisco’s SoMa neighborhood. Roles listed as San Francisco-based (no explicit remote/hybrid policy stated, but many roles are on-site). - **Engineering Culture**: Open roles for Senior Front-End, Fullstack, Backend, React Native/Expo Engineers, and an Engineering Manager. Emphasis on tackling meaningful healthcare challenges and learning constantly. ## Sources 1. [joinmochi.com/careers](https://joinmochi.com/careers) 2. [joinmochi.com](https://joinmochi.com/) 3. [joinmochi.com/about](https://joinmochi.com/about) 4. [job-boards.greenhouse.io/mochihealth](http://job-boards.greenhouse.io/mochihealth) 5. [greatplacetowork.com](https://www.greatplacetowork.com/en/certified-company/7087566) ## Other roles at Mochi Health - [Marketing Associate](https://feeny.ai/job/marketing-associate-mochi-health-san-francisco-pyafrkwh4e76) — San Francisco, CA - [Operations Associate, Insurance & Clinical Operations](https://feeny.ai/job/operations-associate-insurance-clinical-operations-mochi-health-san-francisco-vhra2e5thzdf) — San Francisco, CA - [Strategy & Operations Manager, Pharmacy & Fulfillment](https://feeny.ai/job/strategy-operations-manager-pharmacy-fulfillment-mochi-health-houston-4q6mnmbvd7nj) — Houston, TX - [Medical Writer and Producer](https://feeny.ai/job/medical-writer-and-producer-mochi-health-san-francisco-fm3h1f769twh) — San Francisco, CA - [Senior Product Manager](https://feeny.ai/job/senior-product-manager-mochi-health-san-francisco-5wzchv7t1f9z) — San Francisco, CA - [Operations Associate (Pharmacy)](https://feeny.ai/job/operations-associate-pharmacy-mochi-health-san-francisco-qnjphbpc312t) — San Francisco, CA - [Strategy & Operations Associate, Provider Growth](https://feeny.ai/job/strategy-operations-associate-provider-growth-mochi-health-san-francisco-ka5f7fd6ng4e) — San Francisco, CA - [Senior React Native / Expo Engineer](https://feeny.ai/job/senior-react-native-expo-engineer-mochi-health-san-francisco-y3b7qj5s5qdt) — San Francisco, CA - [Senior Product Designer](https://feeny.ai/job/senior-product-designer-mochi-health-san-francisco-ayx4xxasv7qv) — San Francisco, CA - [Senior Fullstack Engineer](https://feeny.ai/job/senior-fullstack-engineer-mochi-health-san-francisco-j4exxfrwdxbd) — San Francisco, CA