Revenue Cycle Specialist

The Kidz Club • Louisville, KY

64d • Onsite

About The Position

The Revenue Cycle Specialist with a focus on Prior Authorization is a key member of the Billing/Revenue Cycle Department, ensuring therapy and PPEC services are properly authorized and compliant with payer requirements. This role specializes in obtaining, tracking, and maintaining prior authorizations for Occupational Therapy (OT), Physical Therapy (PT), Speech Therapy (ST), and serves as backup support for PPEC authorizations and billing tasks. The ideal candidate is detail-oriented, organized, and proactive, supporting uninterrupted patient care and accurate reimbursement.

Requirements

• Knowledge of medical terminology
• Excellent attention to detail and organizational skills.
• Strong communication and problem-solving skills.
• Knowledge of insurance procedures, Medicaid, and private insurers.
• Ability to work independently and as part of a team in a fast-paced environment.

Responsibilities

• Obtain, track, and manage prior authorizations
• Prepare and submit complete authorization requests with required documentation
• Communicate with insurance representatives, case managers, and clinical staff to facilitate timely service approvals.
• Monitor authorization expirations and proactively request renewals.
• Assist with denial management, re-submissions, and appeals related to authorizations or claim issues.
• Provide backup support for PPEC billing processes and assist with claim work or other revenue cycle functions as needed.
• Collaborate closely with therapists, nursing staff, and billing team members to maintain accurate and up-to-date records.

Benefits

• Paid Time Off for Full-Time Employees
• 401K and Student Loan Reimbursement Available for Full-Time and PRN Employees
• Health Benefits or HRA
• Vision and Dental Benefits
• Life Insurance (Basic and Voluntary)
• Long-Term Care with Death Benefit
• Dependent Care FSA
• Short- and Long-Term Disability Insurance packages available for Full-Time Employees
• Evelyn Mae Williamson Continuing Education Scholarship

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees