Revenue Cycle Management Specialist

Revenue Cycle Management (RCM) Specialist The Revenue Cycle Management (RCM) Specialist oversees the full revenue cyclefrom payer applications and provider credentialing to accurate billing and timely reimbursement. This role requires strong organizational skills, attention to detail, and the ability to troubleshoot and optimize systems. Ideal candidates have healthcare billing and credentialing experience and enjoy improving workflows in a fast-paced environment. Key Responsibilities Billing & Claims 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. Provider Credentialing & Enrollment 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. Contract Applications & Payer Relations Submit and track new payer contract applications. Maintain records of contracts, effective dates, and reimbursement schedules. Assist leadership with rate reviews and contract summaries. Coordinate with payer representatives to support strong network relationships. Revenue Cycle Optimization Identify opportunities to improve billing workflows and reduce A/R days. 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 Required 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. Preferred Experience credentialing behavioral health providers. Knowledge of CAQH, Availity, and payer portals. Ability to track and interpret RCM-related KPIs. Compensation & Benefits Competitive salary based on experience. Health, dental, and vision insurance. PTO and paid holidays. Professional development opportunities. Supportive, collaborative team environment. EEO & Franchise Notice Ellie Mental Health franchisees are independent employers responsible for all employment decisions within their clinics. Employment at a franchise location is not employment with Ellie Family Services, PLLP, Ellie MSO, LLC, or affiliated entities. Franchise organizations handle their own hiring, supervision, and workplace policies. Ellie Mental Health and its franchisees provide Equal Employment Opportunity to all applicants regardless of race, color, sex, religion, national origin, citizenship, age, disability, veteran status, sexual orientation, gender identity/expression, genetic information, or any other protected status. Applicants requesting accommodation under the ADA or related laws may do so during the hiring process. Flexible work from home options available. Compensation: $50,000.00 - $60,000.00 per year Seeking creative & collaborative humans with a passion for changing mental health care in fun and meaningful ways. Don't meet EVERY requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. Ellie Mental Health is devoted to purposefully building an inclusive and diverse workplace where all of our humans can be their authentic selves! (Authenticity is one of our core values, after all) If you're excited about the chance to be a change-maker with us, but your past experience doesn't perfectly align with every single qualification of the job description, we encourage you to apply anyways. Our mental health jobs need dedicated individuals from every background who are willing to care for others. And who knows, you might just be the perfect candidate for another role! Employee Experience 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! Jobs in mental health are tough jobs with a high risk of emotional fatigue and burnout. At Ellie, we use all of our core values of humor, creativity, authenticity, acceptance, determination, and compassion not just out in our communities, but we turn them inwards too! Our employees have clear growth paths for advancing their careers. We have created a culture that reminds us that our employees are our leaders! Company Structure Ellie is 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." Feeling blah doesn't help employees stay motivated, engaged, or even in their jobs for a very long time! So 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. In short, we're just people helping people. Wanna join the herd?