Revenue Cycle Billing Specialist

Job description

**MeBe Family** is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT. At MeBe, you’ll be offered more than a job. You’ll receive training and support to develop a career in Applied Behavior Analysis and grow as an individual. You’ll work with extraordinary team members who share a common goal, to help children with autism be their best selves. Your days will be filled with meaning and purpose. MeBe is seeking an experienced Revenue Cycle AR Specialist to join our team. MeBe provides Applied Behavior Analysis (ABA), Speech Therapy, and Occupational Therapy services. We are looking for a detail-oriented, proactive professional with strong problem-solving skills, excellent communication, and a strong understanding of the healthcare revenue cycle. The ideal candidate understands what it takes to move a claim from submission to payment, knows how to identify the root cause of claim issues, and is comfortable communicating with insurance payers, providers, and internal teams to resolve outstanding balances. This is a fully remote position and candidates must reside in the MST or PST time zones. **About You:** - You take **pride** in your work, pay attention to the small details and have a reputation for doing high quality work. - You **value** transparency and operate with candor and compassion. You inspire others to be their best selves. - You **love** to weave fun and laughter into whatever you do. Making a positive impact is what drives you - You **value** individuality and find yourself gravitating towards people with other interests who think outside the box, and push the status quo. **About What You’ll Work On:** - 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. **Qualifications:** - 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. **Benefits Include:** - Industry Benchmarked, competitive pay based on location and experience - $26 – $30 per hour - 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 We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.