Revenue Cycle Specialist

This is a fully remote position, open to applicants in Arizona, +4 more states.

📋 Description

• Submit claims, handle follow-ups on payer appeals, and relay claim status to the manager.

• Ensure claims are accurately coded in compliance with current CPT, ICD-10, and HCPCS guidelines.

• Manage accounts receivable and liaise with insurance carriers to optimize payments while identifying issues or changes.

• Conduct secondary billing and patient invoicing, ensuring timely follow-up.

• Process online modifications to insurance claims.

• Adhere to insurance-carrier audit requests promptly.

• Review medical records and resubmit claims with the necessary documentation while maintaining confidentiality standards.

• Correct account and active-claim errors by adjusting or voiding transactions and posting appropriate adjustments.

• Investigate credit balances and manage insurance refunds or adjustments.

• Stay updated with insurance billing requirements and new guidelines.

• Engage in departmental and organizational process-improvement efforts.

• Assist providers and staff with insurance and billing inquiries via phone and email.

• Contribute to special projects related to accounts-receivable cleanup.

• Perform additional tasks as assigned.

⛳️ Requirements

• A minimum of 3+ years of billing experience is required.

• In-depth knowledge of behavioral health and ABA medical billing, medical codes, and practices is essential.

• Familiarity with medical insurance payors, including Medicare, Medi-Cal, HMO, FFS, TPAs, PPO, and IPAs, is required.

• An associate degree and/or medical billing certification (AHIMA, AAPC) is preferred.

• Knowledge of billing codes and practices related to occupational therapy and speech-language therapy is preferred.

• Proficient computer skills, including experience with practice management software; familiarity with Central Reach is a significant advantage.

• Reliable internet connection is required.

• High level of accuracy and attention to detail is necessary.

• Strong verbal and written communication skills are essential.

• Capability to multitask in a fast-paced environment with frequent interruptions.

• Ability to work both independently and as part of a team.

• Punctual, dependable, adaptable, responsible, and quick to learn new tasks.

• Self-motivated individual.

• Excellent customer service skills are a must.

• Strong commitment to meeting the needs of families.

• Must reside in California, Arizona, Texas, Washington, or Colorado.

• Willingness to work regular PST hours.

🏝️ Benefits

• Industry benchmarked, competitive salary based on location and experience.

• Paid days off.

• Medical, Vision, and Dental coverage through Anthem Insurance; 80% for employees, 50% for dependents.

• Life, AD&D, Accident, Hospital Indemnity, Short-Term Disability, and Critical Illness Insurance.

• Access to complimentary mental health sessions.

• Discounted pet insurance.

• 401k program available.

• Tuition discounts offered to all employees through University Partnerships.

• Ample treatment spaces.

• Opportunities for positions in various settings: clinic and in-home.

• Scheduling department manages reschedules, cancellations, and permanent changes to schedules.

• Work tools provided.

• Company-sponsored fun events for all employees.