Revenue Cycle Management Specialist
Ellie Mental Health-Capital Region NY · Smyrna, TN · 2 wk ago
HybridFull-time
Pay
Competitive salary
Health insurance
Paid time off
Dental insurance
Vision insurance
Benefits
- Monitor and resolve denials, rejections, and underpayments.
- Post payments, reconcile accounts, and maintain clean A/R.
- Communicate with payers to resolve coding or coverage issues.
- Ensure compliance with CPT coding, payer rules, and documentation standards.
- Manage full-cycle credentialing, including CAQH, panel applications, and recredentialing.
- Track application progress and follow up with payers.
- Maintain accurate provider records and payer IDs.
- Support onboarding by ensuring providers are billable with required networks.
- Submit and track new payer contract applications.
- Maintain records of contracts, effective dates, and reimbursement schedules.
- Assist leadership with rate reviews and contract summaries.
- Collapse coordination with payer representatives to support strong network relationships.
- Create and refine SOPs for billing, credentialing, and contract management.
- Provide reporting on cash flow, A/R, and payer performance.
- Collaborate with clinical/admin staff to support accurate documentation.
Qualifications
- 2+ years in medical billing, RCM, or credentialing (behavioral health preferred).
- Strong knowledge of insurance billing, EOBs, and CPT/ICD-10.
- Experience with EHR/practice management platforms (e.g., Valant).
- Excellent attention to detail, time management, and communication skills.
- Experience credentialing behavioral health providers.
- Knowledge of CAQH, Availity, and payer portals.
- Ability to track and interpret RCM-related KPIs.
Skills
- Knowledge of CPT coding, payer rules, and documentation standards.
- Experience with EHR/practice management platforms (e.g., Valant).
- Attention to detail and excellent communication skills.
- Experience with CAQH, Availity, and payer portals.
- Ability to track and interpret RCM-related KPIs.
Requirements
- Submit timely, accurate insurance claims.
- Monitor and resolve denials, rejections, and underpayments.
- Post payments, reconcile accounts, and maintain clean A/R.
- Communicate with payers to resolve coding or coverage issues.
- Ensure compliance with CPT coding, payer rules, and documentation standards.
- Manage full-cycle credentialing, including CAQH, panel applications, and recredentialing.
- Track application progress and follow up with payers.
- Maintain accurate provider records and payer IDs.
- Support onboarding by ensuring providers are billable with required networks.
- Submit and track new payer contract applications.
- Maintain records of contracts, effective dates, and reimbursement schedules.
- Avoid missing deadlines and errors in billing processes.
- Collaborate with clinical/admin staff to support accurate documentation.
Company Culture
We take care of our people. It’s that simple. From investing in their financial future, to providing wages that shatter the ceiling in our industry to reasonable caseload expectations we ensure that our people are happy. Happy employees do better work and provide better client care! No matter what it is that you do in your mental health career at Ellie, our clients depend on us cultivating an environment where our employees can thrive so that they can thrive too!
In short, we’re just people helping people. Wanna join the herd?