Revenue Cycle Specialist

All Together Recovery•Danville, KY

About The Position

All Together Recovery LLC (ATR), provides multiple levels of ASAM SUD/BHSO care, including recovery housing, education, job training, employment, and other recovery related extensions to the family in for-profit and non-profit environments. The Revenue Cycle Specialist is responsible for managing and optimizing the full revenue cycle process to ensure accurate, timely reimbursement for services rendered. This role supports financial stability by coordinating insurance verification, authorizations, billing, claims submission, payment posting, and follow-up on unpaid or underpaid claims. The Revenue Cycle Specialist works collaboratively with clinical, billing, and administrative teams to reduce denials, improve cash flow, and maintain compliance with payer and regulatory requirements.

Requirements

The applicant must have a minimum of a high school diploma or GED.
Minimum of 2-3 years’ experience working in billing, revenue cycle, or another related field preferred.

Nice To Haves

An associate degree is preferred but not required.
Experience working in behavioral health field strongly preferred.
Previous experience working with KIPU, CollabMD, Availity, KYMMIS, and other provider portals strongly preferred.

Responsibilities

Prepare and submit initial claims to insurance payers
Follow up on outstanding, denied, or rejected claims
Process adjustments, re-bills, and corrections as needed
Maintain organized records of all billed and pending claims
Accurately post payments, adjustments, and remittances
Research and resolve payment discrepancies, underpayments, and overpayments
Reconcile daily, weekly, and monthly billing reports to ensure accuracy
Obtain initial insurance authorizations for assigned levels of care (e.g., 3.1 & 3.5 residential, PHP, IOP, outpatient) by submitting authorization requests to Medicaid and commercial payers via portals, fax, or phone.
Track authorization start/end dates, approved days, and service limitations.
Communicate authorization determinations, extensions, and denials to clinical, medical, and billing teams.
Coordinate with clinical and medical staff to gather required documentation for concurrent reviews.
Monitor census and authorization expirations to prevent lapses in coverage.
Maintain accurate authorization records in the EHR and payer portals.
Follow up on pending authorizations and escalate urgent cases affecting patient care to the Business Office Manager.
Assist with appeals and retro-authorizations related to authorization denials.
Ensure compliance with payer guidelines, state regulations, and internal policies.
Scan, upload, and organize authorization correspondence and payer communications.
Scan, organize, and maintain digital and physical correspondence including EOBs, denials, approvals, and payer letters
Prepare and mail invoices and other correspondence to patients and guarantors
Assist with answering incoming phone calls and direct to appropriate departments
Assist with other duties as assigned by Business Office Manager