Revenue Cycle Specialist

Seeking an experienced Revenue Cycle Specialist to oversee and strengthen the billing and collections process for a multi-location outpatient behavioral health practice. This role is ideal for someone with strong medical billing experience, excellent attention to detail, and the ability to identify and resolve issues affecting claims, denials, collections, and accounts receivable.

The Revenue Cycle Specialist will be responsible for ensuring that claims are submitted accurately and timely, denials and rejections are worked consistently, payments are posted correctly, and aging accounts receivable is actively monitored and resolved. This person will serve as a lead resource for the billing team and provide regular reporting to management regarding collections, denials, claim status, and revenue cycle performance.

Key Responsibilities

Team Leadership

• Act as lead and provide oversight to billing team.
• Oversee training, workflow management, and quality control.
• Help billing team prioritize daily billing tasks, including claims submission, rejection cleanup, denial follow-up, and A/R work.
• Communicate effectively with front desk, providers, and management regarding billing-related issues.
• Support a team-oriented and solution-focused billing environment.

Billing & Claims Management

• Submit and monitor insurance claims for psychiatry, therapy, and related behavioral health services.
• Review claims for accuracy prior to submission, including payer, provider, CPT, diagnosis, authorization, credentialing, and demographic information.
• Monitor clearinghouse reports and resolve claim rejections promptly.
• Ensure claims are submitted in a timely manner and in compliance with payer requirements.
• Identify recurring claim issues and recommend and implement process improvements.

Denials & Accounts Receivable

• Work denied, rejected, unpaid, and underpaid claims.
• Research payer denials and take appropriate corrective action, including appeals, corrected claims, reconsideration requests, and follow-up calls.
• Actively work aging A/R, particularly claims over 30, 60, and 90 days.
• Track denial trends and identify root causes, such as credentialing problems, authorization issues, coding errors, eligibility problems, or payer-specific requirements.
• Escalate unresolved or high-dollar issues to management as appropriate.

Payment Posting & Reconciliation

• Post insurance payments, patient payments, adjustments, and write-offs accurately.
• Review EOBs/ERAs for accuracy and underpayments.
• Reconcile deposits, payment batches, and outstanding balances.
• Ensure patient balances are transferred appropriately after insurance processing.

Reporting & Revenue Cycle Oversight

• Prepare regular reports on collections, A/R aging, denials, unpaid claims, rejections, and payment trends.
• Monitor key revenue cycle metrics, including collection rate, denial rate, days in A/R, and aging balances.
• Provide management with clear updates on billing performance and areas of concern.
• Help establish billing workflows, checklists, and accountability systems.

Qualifications

• Minimum of 3–5 years of medical billing experience required.
• Behavioral health, psychiatry, therapy, or outpatient specialty billing experience strongly preferred.
• Experience working denials, rejections, A/R aging, insurance follow-up, and payment posting.
• Knowledge of commercial insurance, Medicare, and managed care billing preferred.
• Ability to identify revenue cycle problems and recommend practical solutions.
• Strong organizational skills and attention to detail.
• Ability to communicate professionally with insurance companies, patients, providers, and internal staff.
• Prior lead, supervisory, or training experience preferred but not required for the right candidate.

Preferred Skills

• Behavioral health billing experience.
• Experience with multiple insurance payers.
• Experience resolving clearinghouse rejections.
• Experience cleaning up aging A/R.
• Ability to create and run billing reports.
• Familiarity with credentialing-related claim issues.
• Experience with patient balance review and collections workflows.
• Comfortable communicating directly with payer representatives and management.

This position offers significant potential to evolve into a key leadership role within the practice.

Pay: $75,000.00 - $82,000.00 per year

Benefits:

• 401(k) matching
• Life insurance
• Paid time off
• Professional development assistance

Experience:

• Medical billing: 3 years (Required)

Ability to Commute:

• Savannah, GA 31401 (Required)

Work Location: In person