Revenue Cycle Management Specialist
Pay
Competitive salary based on experience.
Health, dental, and vision insurance.
Paid time off.
Schedule
Flexible work from home options available.
Benefits
- Professional development opportunities.
- Supportive, collaborative team environment.
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.
- 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.
- Absorb and interpret RCM-related KPIs.
- 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.
Responsibilities
- 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.
- Absorb and interpret RCM-related KPIs.
- 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.
About the Role
Seeking creative & collaborative humans with a passion for changing mental health care in fun and meaningful ways.
Company Structure
We are a socially responsible for-profit business, which allows us to be flexible and responsive to our community's needs. Many mental health and wellness-focused companies are non-profits or government agencies, which rely on the general public, grants, or large donors for funding. This model often results in little creativity and lower compensation for employees, promoting a work culture that just makes people feel "blah."
To combat this, we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health.