Revenue Cycle & Corporate Operations Specialist - Hybrid

American Addiction Centers•Brentwood, TN

3d•Hybrid

About The Position

The Revenue Cycle & Corporate Operations Specialist supports daily revenue cycle operations, corporate administrative functions, and payment processing workflows. This role ensures the accuracy of patient account information, timely claim processing, reconciliation of payments, and coordination between billing, accounting, and external vendors. The position also serves as a critical control point for identifying and resolving revenue cycle process gaps.

Requirements

3-5 years experience in healthcare revenue cycle management, professional billing, or medical claims processing.
Proficiency in Salesforce or similar billing/CRM platforms.
Familiarity with clearinghouse systems (e.g., Waystar).
Understanding of payment posting, reconciliation, and deposit workflows.
Strong attention to detail and ability to manage high-volume administrative tasks.
Strong organizational and communication skills.

Nice To Haves

Knowledge of coordination of benefits and insurance eligibility processes preferred.

Responsibilities

Run and review daily unbillable reports in Salesforce to identify accounts missing insurance or demographic information; update records to ensure completeness and billing readiness.
Generate and distribute patient statement reports from Salesforce and coordinate with USIO for mailing and processing.
Update patient addresses in Salesforce, Aura, and CMD when returned mail indicates corrections.
Process lists from collection partners reflecting exhausted collection efforts and update Salesforce account statuses accordingly.
Create TEC/TEPs for patient payments as needed.
Support coordination of benefits (COB) workflows and resolve excluded accounts.
Work Missing Information Lists (MIL) related to termed insurance coverage and other documentation gaps.
Retrieve and organize all mailed insurance and patient checks; prepare and route deposits to Accounting for appropriate bank allocation.
Process insurance credit card payments received via mail or fax through USIO.
Provide payment details to Hansei to ensure accurate posting to patient accounts.
Support reconciliation activities between clearinghouse, bank deposits, and billing system records.
Review, process, and distribute all incoming corporate mail to appropriate departments.
Scan and electronically file documentation into designated Hansei Teams folders.
Maintain organized document management protocols to ensure audit readiness and compliance.
Identify and help remediate revenue cycle process gaps, particularly those related to coordination of benefits (COB), termed insurance follow-up, and missing demographic or insurance data.
Provide operational support to mitigate workflow disruptions resulting from business office staffing changes.
Collaborate cross-functionally with Billing, Accounting, Operations, and external vendors to improve process continuity and cash flow integrity.