Revenue Cycle Specialist

Mindful Health is a fast‑growing company with the goal of providing an intentionally different approach to mental health and well‑being. We are a combination of bricks and mortar locations and virtual service offerings across the state of Texas to create a high‑end client experience. Mindful Health creates an atmosphere that supports and values our clients and team members. Our commitment is to cultivate a place that provides intentional and exceptional care for our clients and a warm and nurturing environment for our team so we can make a lasting impact in our communities. We believe that health encompasses the whole person, mind, and body, and our clinical programming is built around this belief. We work to empower clients to live fuller and healthier lives. We maintain these same beliefs in developing and supporting our Mindful Health team. We seek enthusiastic individuals passionate about helping clients and value working in a team environment. Please visit our website for more information about our services, locations and team at Job Summary: The Revenue Cycle Specialist role maintains the financial integrity of client billing and insurance claims over the entire revenue cycle process by actively reviewing and carrying out essential coding compliance with regulatory guidelines. The Revenue Cycle Specialist must be comfortable working with clients and insurance companies and be able to research and resolve denials. Further, this position requires the individual to be able to independently resolve matters on behalf of the Company, from billing disputes with clients to reimbursement disputes with insurers. Individuals must be comfortable with that level of responsibility and with maintaining a higher‑level compliance function within the Company. Duties/Responsibilities include: Determine client benefits to include co‑pay and deductible amounts and provide information to Care Coordinator to ensure compliance with Company collection policy. Perform regular account analysis on all accounts to ensure billing is accurately captured for all clients. Proactively analyze A/R aging report, maintaining detailed collection notes on account status; effectively communicate issues in a timely and concise manner to client and management. Engage with clients/contractors/providers to clarify billing/coding/claims concerns, and correct deficiencies. Create detailed client encounter reports that support charges. Review the explanation of benefits (EOB) for patterns of rejected claims and provide training or other solutions to minimize such patterns going forward. Research denied claims. Determine and complete appropriate resolution process. Maintain a working knowledge of payer guidelines regarding timely filing, appeals and corrected claims to ensure compliance. Perform daily reconciliations. Assist with training new team members. Coordinate billing and collection activities. Manage outstanding client accounts and initiate follow‑up efforts as needed. Manage outstanding insurance accounts and initiate follow‑up efforts as needed. Evaluate billing processes and procedures and make suggestions for process improvement. Perform other duties as assigned. Education and Experience: Certified Professional Coder designation, or equivalent professional certification, is preferred. 2+ years’ experience with healthcare billing/full revenue cycle experience, including all major third‑party payors billing. Demonstrated knowledge of regulatory guidelines and requirements for collections. Experience with psychiatric or other telemedicine is strongly preferred. Required Skills: Skilled at negotiation and conflict resolution with multiple types of individuals, including patients and insurers. Working knowledge of medical terminology and anatomy. Strong attention to detail and accuracy. Compliance‑focused. Strong organizational skills and the ability to work on deadlines. Must be able to work independently without supervision. High integrity with excellent problem‑solving abilities. Excellent written and verbal communication skills with an emphasis on customer service. Ability to operate a personal computer and proficient with Microsoft Office Suite and medical office software, including electronic medical record software. Understanding and commitment to appropriate protection of confidential client information. Physical Requirements: Ability to alternate between sitting and standing for extended periods of time. Ability to move about inside the office to perform job responsibilities. Ability to operate a computer and/or laptop. Must be able to effectively communicate with clients, team members, customers and clearly express oneself while exchanging information. Ability to read, write, and comprehend through listening. Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state, and local standards. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time, with or without notice. #J-18808-Ljbffr Mindful Health