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 • Research and resolve claim statuses, denials, rejections, underpayments, overpayments, recoupments, and payment discrepancies • Review EOBs/ERAs and payer adjudication • Submit corrected claims, reconsiderations, appeals, and supporting documentation, including medical records • Maintain 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 • Research and resolve timesheet and claim-related issues, including approved IT corrections and transaction adjustments • Maintain accurate A/R notes and claim documentation in CentralReach • Monitor timely filing deadlines and payer-specific billing, authorization, coding, and reimbursement requirements • Support A/R cleanup, payer research, denial reduction, process improvement, and other RCM projects • Assist providers and internal departments with 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 root causes 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 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 • 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 and 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 • Must be willing to work regular PST hours • Must be legally authorized to work in the United States

🏖️ Benefits

• 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 • Free mental health sessions • Discounted pet insurance • 401k program • Tuition discounts through University Partnerships • Expansive treatment spaces • Options for positions in clinic or in-home settings • Scheduling department handles reschedules, cancellations, and permanent schedule changes • Work tools provided • Company-sponsored fun events