Revenue Cycle Specialist

McLeod Centers For Wellbeing Revenue Cycle Specialist

At McLeod Centers for Wellbeing, our mission is to build a foundation of healing and hope based on equity, education, and evidence-based practice for all communities. A nonprofit founded in 1969 in Charlotte, North Carolina, we have since grown to be one of the largest providers of comprehensive substance use disorder treatment in western North Carolina. From initial assessment to customized aftercare, McLeod Centers provides compassionate, steadfast support for our patients' journey to recovery. We are looking for passionate people to join our team! McLeod Centers for Wellbeing is currently searching for a full-time Revenue Cycle Specialist to work in a hybrid role for the Revenue Cycle Management department at its headquarters in Charlotte, NC.

How will you help us achieve our mission? You will:

• Identify, research, and resolve claim denials; initiate appeals and follow up to secure payment.
• Analyze denial trends and root causes; recommend and implement process improvements.
• Ensure compliance with payer, state, and federal guidelines for behavioral health claims.
• Collaborate with clinical and administrative teams to ensure accurate documentation and coding.
• Verify patient insurance eligibility and pre-authorizations; submit clean claims, reconcile payments, and address underpayments or payment discrepancies.
• Stay current on payer requirements and behavioral health billing best practices.
• Support patient account inquiries and provide billing statements.
• Assist with insurance verification, collections, and AR follow-up.
• Participate in staff training on denial prevention and RCM workflows.

What are the qualifications needed for this role?

• Minimum: High School diploma or equivalent required; associate's degree preferred
• Experience in behavioral health/SUD billing and denial management preferred.
• Knowledge of insurance billing, coding, and payer guidelines.
• CRCR Certification preferred.

What we offer you as an employee:

• Balanced Lifestyle: Enjoy a 37.5-hour work week to support a better work/life balance.
• Comprehensive Healthcare Coverage: Access medical, dental, and vision insurance, along with Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Employer Paid Benefits: Benefit from 100% employer-paid benefits, including short and long-term disability, group term life insurance, and an Employee Assistance Program.
• Financial Security: Secure your future with a 401(k) plan, with company matches up to 3% after 90 days of employment.
• Generous Leave Policies: Enjoy paid time off, sick leave accrual, and additional benefits such as bereavement, jury duty, and parent-child educational leave.
• Holiday Benefits: Celebrate 9 paid observed holidays and receive 1 floating holiday to use at your convenience. You will also receive a paid day off during your birthday month as our way of recognizing and celebrating you as a valued member of our team.
• Student Loan Forgiveness: As an employee for a non-profit organization, you qualify for Public Student Loan Forgiveness (PSLF) to assist with your student loans.

Research indicates that women and underrepresented groups tend to apply for jobs only when they believe they meet 100% of the qualifications. At McLeod Centers, we encourage you to challenge this statistic and apply. It's rare for anyone to meet every qualification. We look forward to hearing from you!