Revenue Cycle Specialist

Overview

Grow your career with the industry leader in behavioral health - Proud Moments ABA.

We are seeking a detail-oriented, analytical, and self-motivated individual to join our team as a Revenue Cycle Specialist working a hybrid schedule.

In this role, you will play a critical part in supporting the financial health of our organization by ensuring the timely and accurate submission of medical claims to both commercial and government payors. You'll help drive an efficient revenue cycle by maintaining billing accuracy, identifying and resolving claim issues, and collaborating with internal teams to support timely reimbursement for the services we provide.

Key responsibilities include reviewing claims for clean submission, processing a high volume of claims, maintaining billing and authorization data, auditing reports, identifying billing discrepancies, and partnering with internal stakeholders to support efficient revenue cycle operations.

Proud Moments ABA is a behavioral health organization, providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. Proud Moments is a haven of knowledge and expertise for parents of children diagnosed on the autism spectrum. We offer expert treatment, innovative techniques, and compassionate, child-centered care.

Responsibilities

As a Revenue Cycle Specialist, you will play a key role in ensuring the timely and accurate submission of claims while supporting efficient revenue cycle operations across multiple payors. Responsibilities include:

• Review and manage pre-billing filters to ensure claims are submitted cleanly and in accordance with different payor guidelines
• Submit high volumes of claims with strong attention to detail, accuracy, and speed
• Monitor and respond to a high volume of emails in a professional and timely manner
• Process insurance updates, entity updates, and authorization updates for a high volume of time sheets
• Effectively manage multiple priorities and meet deadlines in a fast-paced environment
• Audit and maintain various Excel-based reports
• Identify and escalate billing issues proactively to minimize claim rejections and delays
• Collaborate with internal teams to ensure efficient workflow and resolution of billing issues

Qualifications

The successful Revenue Cycle Specialist candidate will bring a mix of the following experience and competencies:

• Prior experience in medical billing or revenue cycle management preferred
• Strong organizational and multitasking skills
• Excellent written and verbal communication skills
• Ability to work independently and maintain productivity in a high-volume environment
• Strong attention to detail and analytical thinking
• Intermediate to advanced Excel knowledge is highly preferred
• Experience auditing reports and working with large data sets is a plus
• Self-starter with a proactive and solutions-oriented mindset
• Ability to adapt quickly and learn new processes
• Strong sense of accountability and follow-through
• Team player with a positive and professional attitude
• Comfortable working under pressure while maintaining accuracy

The Proud Moments Advantage:

• Hybrid Schedule: Every other Wednesday is an on-site workday at our corporate office located in The Empire State Building, New York, NY. All other workdays are remote, with standard hours of9:00 AM ET to 5:00 PM ET
• Competitive pay commensurate with your education, experience, and location
• Generous paid time off
• Advancement opportunities as Proud Moments ABA expands
• Comprehensive benefits package, including:
  • Medical, dental and vision coverage
  • 401K retirement savings program
  • Employee Assistance Programs
• Salary Range: $55,000 - $60,000 annually

You deserve to work with the best - Proud Moments ABA.

If you're ready to accelerate your professional career with a fast-growing, highly respected behavioral health organization, Proud Moments ABA encourages you to submit your qualifications for this position today. Qualified candidates will be contacted via email.

Proud Moments ABA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, veteran status, sex, national origin, age, disability or genetics. In addition to federal law requirements, Proud Moments ABA complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

To apply, please submit your resume. Qualified candidates will be contacted.

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