Schedule Full timeJob Type PermanentIndustry Health medical and relatedHighlightsHigh school diploma or equivalentMinimum of one year of healthcare professional billing experiencePrevious experience with Claim Submission RequirementsJob DescriptionReports to: Revenue Cycle DirectorFLSA Status: Exempt/Full TimeLocation: In-person at our corporate office is required for individuals who are located in San Antonio or surrounding areas, remote will be considered if not located in San Antonio. In order to be eligible for remote candidates must live in one of the following states: Texas, Georgia, Florida, Louisiana, Tennessee, Mississippi or Alabama.Job SummaryThe Revenue Cycle Specialist Lead at Empower Behavioral Health (EBH) is a key member of the revenue cycle management team. This individual is responsible for overall claim follow-up, denial management and appeals tracking. Ensuring that our cash flow is consistent and denial trends are tracked and reported. Working in a fast-paced, growing organization, this position is focused on the ever-growing needs of the EBH billing team in line with the EBH standard of patient care. This position will rely heavily on communication and multi-tasking abilities.Duties and ResponsibilitiesOversee end-to-end accounts receivable (AR) workflows, ensuring timely follow-up, resolution, and optimization of outstanding claimsLead denial management and claim recovery efforts, including root cause analysis, appeal strategy, and resolution tracking to maximize reimbursementAnalyze cash flow trends, payment variances, and payer performance to identify risks and opportunities for revenue improvementPrepare, review, and submit claims in alignment with payer requirements and organizational standardsManage payment posting and reconciliation of Explanation of Benefits (EOBs), ensuring accuracy and completeness of financial dataRetrieve and reconcile remittances from payer portals to support accurate cash application and reportingCommunicate directly with payers to resolve claim issues, submit technical appeals, and address underpayments or denialsMonitor daily billing and AR activities to ensure productivity standards and timely claim progressionCompile and deliver month-end reporting, including AR aging, denial trends, and cash performance insights for leadership reviewFacilitate monthly revenue cycle or billing meetings, providing actionable insights and updates on key performance indicatorsResearch and prepare documentation required for appeals and audits, ensuring compliance with payer and regulatory requirementsIdentify denial trends and implement corrective action plans to improve first-pass resolution rates and reduce reworkPlanning and Evaluating (Workload Management)Problem SolvingAttention to DetailResults-OrientedCustomer ServiceOral and Written CommunicationEducation and ExperienceRequired:High school diploma or equivalentMinimum of one year of healthcare professional billing experiencePrevious experience with Claim Submission RequirementsExperience with revenue cycle and how various components work togetherExperience or exposure to any Practice Management SoftwareExperience with a large number of taking inbound and outbound calls while maintaining a professional mannerPreferred:Experience with Central Reach practice management systemExperience working in an administrative settingExperience working in a growing organizationPhysical RequirementsMust be able to sit for extended periods while working at a desk or computerMust be able to stand, walk, and move about the office as neededMust be able to use hands and fingers to operate a computer, keyboard, mouse, telephone, and other office equipmentMust be able to reach, bend, handle, and manipulate office materials and equipmentMust be able to lift and carry office supplies, packages, and materials weighing up to 15 poundsMust be able to see, read, and interpret written documents, computer screens, and data for extended periods of timeMust be able to hear and communicate effectively in person, over the phone, and via electronic meansEqual Employment OpportunityEmpower Behavioral Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.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.#J-18808-Ljbffr