Revenue Cycle Specialist – Temporary 5 Month Position (April – August) Remote
The Revenue Cycle Specialist plays a key role in managing patient account support in intake or existing patients, insurance billing, claims resolution, and provider credentialing. This role requires experience in ABA billing, medical credentialing, revenue cycle, patient financial services and the intake process. You will work directly with insurance companies, third-party billing partners, and families to ensure timely payments, accurate credentialing, and excellent service.
This is a temporary 5 month (April – August) position with a possibility to transition into full time.
Key Responsibilities:
ABA Billing & Revenue Cycle Support:
• Act as primary patient contact for billing, insurance benefits, and Explanation of Benefits (EOBs).
• Explain insurance coverage, co-pays, deductibles, coinsurance, authorizations, and patient responsibility.
• Establish payment plans and manage patient account balances.
• Process payments and ensure proper documentation for patient accounts.
• Tracking and maintaining Prior Authorizations
Insurance Claims Troubleshooting:
• Partner with third-party billing company to resolve claim denials and rejections.
• Investigate root causes (e.g. credentialing, coding, authorization, documentation errors).
• Submit appeals and corrections to ensure proper reimbursement.
• Review EOBs to catch underpayments, overpayments, or billing errors.
Intake Coordination:
• Intake coordination of potential families and patients
• Obtain and maintain all related documentation and information
Medical Credentialing (ABA):
• Manage credentialing and re-credentialing for providers across private insurance, Medicaid, and commercial payers.
• Submit CAQH, NPPES, and payer applications; track status and proactively resolve delays.
• Maintain credentialing databases, ensure timely re-credentialing to avoid disruptions.
• Monitor payer policies and maintain compliance with insurance regulations.
Preferred Qualifications:
• 2–5 years of experience in medical billing, ABA billing, healthcare credentialing, or revenue cycle management.
• Knowledge of insurance billing processes: CAQH, NPPES, commercial insurance, Medicaid, authorizations preferred.
• Proficiency in ABA billing software (Rethink EMR preferred).
• Excellent communication and customer service skills.
• Strong organizational and problem-solving skills.
• HIPAA compliant and detail-oriented.
• Associate’s degree required; Bachelor’s degree in Healthcare Administration, Business, or similar field preferred.
Apply Now
Apply Now
This is a temporary 5 month (April – August) position with a possibility to transition into full time.
Key Responsibilities:
ABA Billing & Revenue Cycle Support:
• Act as primary patient contact for billing, insurance benefits, and Explanation of Benefits (EOBs).
• Explain insurance coverage, co-pays, deductibles, coinsurance, authorizations, and patient responsibility.
• Establish payment plans and manage patient account balances.
• Process payments and ensure proper documentation for patient accounts.
• Tracking and maintaining Prior Authorizations
Insurance Claims Troubleshooting:
• Partner with third-party billing company to resolve claim denials and rejections.
• Investigate root causes (e.g. credentialing, coding, authorization, documentation errors).
• Submit appeals and corrections to ensure proper reimbursement.
• Review EOBs to catch underpayments, overpayments, or billing errors.
Intake Coordination:
• Intake coordination of potential families and patients
• Obtain and maintain all related documentation and information
Medical Credentialing (ABA):
• Manage credentialing and re-credentialing for providers across private insurance, Medicaid, and commercial payers.
• Submit CAQH, NPPES, and payer applications; track status and proactively resolve delays.
• Maintain credentialing databases, ensure timely re-credentialing to avoid disruptions.
• Monitor payer policies and maintain compliance with insurance regulations.
Preferred Qualifications:
• 2–5 years of experience in medical billing, ABA billing, healthcare credentialing, or revenue cycle management.
• Knowledge of insurance billing processes: CAQH, NPPES, commercial insurance, Medicaid, authorizations preferred.
• Proficiency in ABA billing software (Rethink EMR preferred).
• Excellent communication and customer service skills.
• Strong organizational and problem-solving skills.
• HIPAA compliant and detail-oriented.
• Associate’s degree required; Bachelor’s degree in Healthcare Administration, Business, or similar field preferred.
Apply Now
Apply Now