Revenue Cycle Documentation & Correspondence Specialist

Revenue Cycle Documentation & Correspondence Specialist (Medical Records Specialist)

Location: Corporate Office - Addison, TX (Near Beltline & Tollway) - Relocating to (West Plano) July 2026

Schedule: Full-Time | Onsite In-Office, with ability to go to the RCM hybrid schedule following the 90-day training period and based on individual performance

Reports: Will report to the Revenue Cycle Management Manager

Why Choose Behavioral Innovations:

• Compensation: Full-Time, Hourly Paid role.
• Insurance: Medical, vision, dental, and supplemental insurance options.
• Wellbeing Program: Equipping you with tools to achieve your wellness goals.
• Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
• Family-Centric Culture We foster a caring and collaborative work environment.
• Award-Winning Culture Honored with the Clinical Excellence Award in 2021 for our commitment to ethical standards and compassionate care.
• Recognized Industry Leader Named Company of the Year in 2022, reflecting our continued growth and impact in the ABA field.
• National Recognition Proudly ranked on the Inc. 5000 list as one of America's Fastest Growing Private Companies.
• Mission-Driven Work Dedicated to transforming the lives of children with autism through high-quality, center-based ABA therapy.
• Values-Driven Organization Guided daily by our Core Values, with integrity at the heart of everything we do.

Position Summary:

We're looking for a Revenue Cycle Documentation & Correspondence Specialist who understands the importance of accurate medical records, timely payor responses, and strong revenue cycle process. If you have experience handling medical record requests, payor audits, utilization reviews or appeals, this role offers the chance to use your expertise in a mission-driven organization that values precision, collaboration, and accountability. In this role, you'll serve as a critical connection point between payors, clinical teams, and revenue cycle operations, ensuring the documentation needed to support claims is accurate, complete, and delivered on time.

Your Role and What You'll Do:

Outcomes & Responsibilities:

• Receive, review, and process medical record requests from commercial, government, and managed care payors.
• Retrieve, compile, and submit complete medical records in accordance with payor-specific requirements and deadlines.
• Ensure documentation accuracy, completeness, and compliance with HIPAA, CMS, and payer guidelines.
• Adhere to internal policies, regulatory requirements, and revenue cycle management best practices.
• Track, log, and monitor all payor requests to ensure timely response and follow-up.
• Coordinate with clinical staff, Health Information Management (HIM), coding, billing, and utilization management teams to obtain required documentation.
• Identify documentation gaps or trends that may contribute to denials and escalate issues as appropriate.
• Support denial prevention and appeals processes by providing medical records and related correspondence.
• Maintain detailed and organized records of all payor communications and submissions within billing and document management systems.
• Communicate professionally with payors to clarify requests, confirm receipt, and request extensions when necessary.
• Always protect the confidentiality and security of patient health information.

Qualifications:

• High school diploma or equivalent required.
• Associate's degree in health information management, Healthcare Administration, or a related field preferred.
• Minimum of 24 years of experience in medical records, revenue cycle, billing, coding, or payor correspondence.
• Experience handling insurance medical record requests, audits, utilization reviews, or appeals strongly preferred.
• Strong understanding of documentation requirements for insurance claims.
• Ability to track multiple requests, meet deadlines, and maintain organized documentation.
• Clear and professional communication with team members, leadership, and external stakeholders.
• Proactively identify and resolve issues, taking initiative to improve processes and outcomes.
• Demonstrate consistently high-quality work with strong attention to detail.
• Show a willingness to learn new skills and take on additional responsibilities.
• Consistently embody and promote BI's core values in all professional interactions.

About Behavioral Innovations:

Since 2000, Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MD, NC - and more to come - we're continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.

Ready to Join Us? If you have experience handling medical record requests, audits, utilization reviews or payor documentation and want to be part of a mission-driven healthcare company, we'd love to connect with you!

APPLY TODAY and help support the care that transforms lives.