Revenue Cycle Specialist

🕒 Yesterday

🌵 Arizona, California, +3 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🤠 Texas – Remote ☕ Washington – Remote

💵 $26 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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MeBe

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

MeBe is a comprehensive healthcare provider that specializes in therapy and support for children and their families. The company offers a range of services including Applied Behavior Analysis (ABA), speech and language pathology, occupational therapy, and social skills programs. MeBe operates learning centers across multiple locations in the United States such as San Diego, Los Angeles, the Bay Area, Seattle, Phoenix, and Northern Virginia. They focus on delivering engaging, customized therapy that is tailored to each child's unique needs. The company integrates diagnostic rigor with research-based strategies to support families in need of therapy solutions. MeBe is dedicated to enhancing the lives of children through compassion, inclusion, and expert care.

📋 Description

• Manage assigned A/R through consistent follow-up using payer portals, phone, and CentralReach Claim Accelerator to drive timely claim resolution and payment • Research and resolve claim status, denials, rejections, underpayments, overpayments, recoupments, and payment discrepancies, including review of EOBs/ERAs and payer adjudication • Submit corrected claims, reconsiderations, appeals, and supporting documentation as needed, including medical records, while maintaining HIPAA and confidentiality requirements • Identify and communicate billing errors, recurring payer issues, and claim trends to the RCM Manager and billing team • Assist with payer audits, insurance refunds, adjustments, and recoupments, ensuring required documentation and approvals are completed timely • Research and resolve timesheet and claim-related issues, including approved IT corrections and transaction adjustments • Maintain accurate and detailed A/R notes and claim documentation in CentralReach, including payer contacts, follow-up actions, status, and resolution • Monitor timely filing deadlines and payer-specific requirements, including changes to billing, authorization, coding, and reimbursement guidelines • Support A/R cleanup, payer research, denial reduction, process improvement, and other RCM projects as assigned by the RCM Manager • Provide professional and timely assistance to providers and internal departments regarding billing and insurance questions and escalate issues appropriately • Perform other RCM-related duties as assigned

🎯 Requirements

• 3+ years of healthcare medical billing and/or A/R experience required • Strong understanding of the healthcare revenue cycle, including claim submission, payer adjudication, denials, appeals, payment posting, and A/R follow-up • Experience researching claims and identifying the root cause of billing and payment issues • Experience with medical billing and medical coding • Knowledge of ABA billing and behavioral health revenue cycle processes preferred • Knowledge of Speech-Language Pathology and Occupational Therapy billing practices preferred • Familiarity with ABA CPT codes and payer-specific billing requirements preferred • Experience working with Commercial, Medi-Cal/Medicaid, and managed care payers preferred • Familiarity with payers across California, Arizona, Colorado, Texas, Virginia, and Washington is a plus • Experience working with CentralReach (CR) strongly preferred • Experience with electronic payer portals and clearinghouses preferred • Associate degree and/or medical billing/coding certification such as AHIMA or AAPC preferred • Strong analytical and problem-solving skills with the ability to research complex claim issues and determine appropriate next steps • Excellent attention to detail and a high degree of accuracy • Strong written and verbal communication skills • Ability to communicate professionally with insurance representatives, providers, families, and internal departments • Ability to manage multiple priorities and meet deadlines in a fast-paced environment • Strong sense of urgency and ownership of assigned A/R • Highly organized, dependable, and self-motivated • Ability to work independently while also functioning effectively as part of a team • Comfortable learning new systems, processes, and payer requirements quickly • Strong customer service skills and a professional, solutions-oriented approach • Candidates must reside in California, Arizona, Texas, Washington, or Colorado • Legally authorized to work in the United States • Must be willing to work regular PST hours

🏖️ Benefits

• Industry Benchmarked, competitive pay based on location and experience • Paid days off • Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents • Life, AD&D, Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance • Invest in your mental health with access to free mental health sessions • Protect your pet with discounted pet insurance • Secure your future with our 401k program • Tuition discounts available to all employees through our University Partnerships • Expansive treatment spaces • Options for positions in variety of settings: clinic; in-home • Scheduling department handles reschedules, cancellations and permanent changes to schedules • Work tools provided • Company sponsored, fun events for everyone