Revenue Cycle Specialist
About The Position
Grow your career with the industry leader in behavioral health – Proud Moments ABA. We are seeking a detail-oriented, analytical, and self-motivated individual to join our team as a Revenue Cycle Specialist working remotely. In this role, you will play a critical part in supporting the financial health of our organization by ensuring the timely and accurate submission of medical claims to both commercial and government payors. You'll help drive an efficient revenue cycle by maintaining billing accuracy, identifying and resolving claim issues, and collaborating with internal teams to support timely reimbursement for the services we provide. Key responsibilities include reviewing claims for clean submission, processing a high volume of claims, maintaining billing and authorization data, auditing reports, identifying billing discrepancies, and partnering with internal stakeholders to support efficient revenue cycle operations. Proud Moments ABA is a behavioral health organization, providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. Proud Moments is a haven of knowledge and expertise for parents of children diagnosed on the autism spectrum. We offer expert treatment, innovative techniques, and compassionate, child-centered care.
Requirements
- Prior experience in medical billing or revenue cycle management preferred
- Strong organizational and multitasking skills
- Excellent written and verbal communication skills
- Ability to work independently and maintain productivity in a high-volume environment
- Strong attention to detail and analytical thinking
- Intermediate to advanced Excel knowledge is highly preferred
- Experience auditing reports and working with large data sets is a plus
- Self-starter with a proactive and solutions-oriented mindset
- Ability to adapt quickly and learn new processes
- Strong sense of accountability and follow-through
- Team player with a positive and professional attitude
- Comfortable working under pressure while maintaining accuracy
Responsibilities
- Review and manage pre-billing filters to ensure claims are submitted cleanly and in accordance with different payor guidelines
- Submit high volumes of claims with strong attention to detail, accuracy, and speed
- Monitor and respond to a high volume of emails in a professional and timely manner
- Process insurance updates, entity updates, and authorization updates for a high volume of time sheets
- Effectively manage multiple priorities and meet deadlines in a fast-paced environment
- Audit and maintain various Excel-based reports
- Identify and escalate billing issues proactively to minimize claim rejections and delays
- Collaborate with internal teams to ensure efficient workflow and resolution of billing issues
Benefits
- Medical, dental and vision coverage
- 401K retirement savings program
- Employee Assistance Programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
