Revenue Cycle Specialist

Core Responsibilities

• Develop, implement, and manage manual billing activities for assigned facilities.
• Review client bills for accuracy and completeness.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Reconcile payments posted in practice management systems.
• Work electronic insurance rejections and resubmit claims with corrected information.
• Monitor census daily for completeness and accuracy.
• Rebill claims through the electronic billing system or payer source.
• Re-bill and appeal claims based on payer rejections and denials.
• Post payments and adjustments accurately.
• Resolve issues related to submitted claims and revenue cycle processes.
• Review credit reports and process applicable refunds.
• Interpret Explanation of Benefits and confirm payment status.
• Research and resolve rejected, incorrectly paid, and denied claims.
• Respond professionally to billing inquiries from clients, staff, and payers.
• Understand authorizations and coverage limits.
• Maintain confidentiality of company, departmental, and provider information.
• Provide backup support for benefits verification and complete Verification of Benefits when requested.

Qualifications

• Associate degree preferred.
• High school diploma with 3-5 years of experience in insurance billing and collections.
• 3-5 years of experience serving as a liaison between insurance companies and family members/guarantors.
• Experience in mental health, substance use disorder treatment, or behavioral healthcare preferred.

Benefits and Perks

• Collaborative environment dedicated to clinical excellence
• Multiple career development pathways
• Company-supported continuing education and certification
• Multiple health plan design options
• Flexible dental and vision plan options
• 100% company-paid EAP emotional well-being support
• 100% company-paid critical illness coverage with health enrollment plan
• 100% company-paid life and ADD
• 401(k) with company match
• Company-sponsored HSA, FSA, and DSA tax savings accounts
• Generous team member referral program
• Parental leave