Revenue Cycle Management Specialist
About The Position
Ellie Mental Health is a growing multi‑clinic organization dedicated to ending stigma, expanding access, and bringing innovation to mental health care. Our clinics are designed to remove barriers that interfere with delivering world‑class services. The Revenue Cycle Management (RCM) Specialist oversees the full revenue cycle—from payer applications and provider credentialing to accurate billing and timely reimbursement. This role requires strong organizational skills, attention to detail, and the ability to troubleshoot and optimize systems. Ideal candidates have healthcare billing and credentialing experience and enjoy improving workflows in a fast‑paced environment.
Requirements
- 2+ years in medical billing, RCM, or credentialing (behavioral health preferred).
- Strong knowledge of insurance billing, EOBs, and CPT/ICD‑10.
- Experience with EHR/practice management platforms (e.g., Valant).
- Excellent attention to detail, time management, and communication skills.
Nice To Haves
- Experience credentialing behavioral health providers.
- Knowledge of CAQH, Availity, and payer portals.
- Ability to track and interpret RCM‑related KPIs.
Responsibilities
- Submit timely, accurate insurance claims.
- Monitor and resolve denials, rejections, and underpayments.
- Post payments, reconcile accounts, and maintain clean A/R.
- Communicate with payers to resolve coding or coverage issues.
- Ensure compliance with CPT coding, payer rules, and documentation standards.
- Manage full-cycle credentialing, including CAQH, panel applications, and recredentialing.
- Track application progress and follow up with payers.
- Maintain accurate provider records and payer IDs.
- Support onboarding by ensuring providers are billable with required networks.
- Submit and track new payer contract applications.
- Maintain records of contracts, effective dates, and reimbursement schedules.
- Assist leadership with rate reviews and contract summaries.
- Coordinate with payer representatives to support strong network relationships.
- Identify opportunities to improve billing workflows and reduce A/R days.
- Create and refine SOPs for billing, credentialing, and contract management.
- Provide reporting on cash flow, A/R, and payer performance.
- Collaborate with clinical/admin staff to support accurate documentation.
Benefits
- Competitive salary
- Health insurance
- Opportunity for advancement
- Paid time off
- Training & development
- Dental insurance
- Vision insurance
- PTO and paid holidays.
- Professional development opportunities.
- Supportive, collaborative team environment.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
