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Revenue Cycle Management Specialist

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<div class="benefits"> <div><strong>Benefits:</strong></div> <ul> <li>Competitive salary</li> <li>Health insurance</li> <li>Opportunity for advancement</li> <li>Paid time off</li> <li>Training & development</li> <li>Dental insurance</li> <li>Vision insurance</li> </ul> </div> <div class="trix-content"> <div> <strong>About Ellie<br></strong><br> </div><div>Ellie Mental Health is a growing multi‑clinic organization dedicated to ending stigma, expanding access, and bringing innovation to mental health care. Our clinics are designed to remove barriers that interfere with delivering world‑class services.<br><br> </div><div> <strong>Position Overview<br></strong><br> </div><div>The <strong>Revenue Cycle Management (RCM) Specialist</strong> oversees the full revenue cycle—from 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.<br><br> </div><div> <strong>Key Responsibilities<br></strong><br> </div><div> <strong>Billing & Claims<br></strong><br> </div><ul> <li>Submit timely, accurate insurance claims.</li> <li>Monitor and resolve denials, rejections, and underpayments.</li> <li>Post payments, reconcile accounts, and maintain clean A/R.</li> <li>Communicate with payers to resolve coding or coverage issues.</li> <li>Ensure compliance with CPT coding, payer rules, and documentation standards.</li> </ul><div> <strong>Provider Credentialing & Enrollment<br></strong><br> </div><ul> <li>Manage full-cycle credentialing, including CAQH, panel applications, and recredentialing.</li> <li>Track application progress and follow up with payers.</li> <li>Maintain accurate provider records and payer IDs.</li> <li>Support onboarding by ensuring providers are billable with required networks.</li> </ul><div> <strong>Contract Applications & Payer Relations<br></strong><br> </div><ul> <li>Submit and track new payer contract applications.</li> <li>Maintain records of contracts, effective dates, and reimbursement schedules.</li> <li>Assist leadership with rate reviews and contract summaries.</li> <li>Coordinate with payer representatives to support strong network relationships.</li> </ul><div> <strong>Revenue Cycle Optimization<br></strong><br> </div><ul> <li>Identify opportunities to improve billing workflows and reduce A/R days.</li> <li>Create and refine SOPs for billing, credentialing, and contract management.</li> <li>Provide reporting on cash flow, A/R, and payer performance.</li> <li>Collaborate with clinical/admin staff to support accurate documentation.</li> </ul><div> <strong>Qualifications<br></strong><br> </div><div> <strong>Required<br></strong><br> </div><ul> <li>2+ years in medical billing, RCM, or credentialing (behavioral health preferred).</li> <li>Strong knowledge of insurance billing, EOBs, and CPT/ICD‑10.</li> <li>Experience with EHR/practice management platforms (e.g., Valant).</li> <li>Excellent attention to detail, time management, and communication skills.</li> </ul><div> <strong>Preferred<br></strong><br> </div><ul> <li>Experience credentialing behavioral health providers.</li> <li>Knowledge of CAQH, Availity, and payer portals.</li> <li>Ability to track and interpret RCM‑related KPIs.</li> </ul><div> <strong>Compensation & Benefits<br></strong><br> </div><ul> <li>Competitive salary based on experience.</li> <li>Health, dental, and vision insurance.</li> <li>PTO and paid holidays.</li> <li>Professional development opportunities.</li> <li>Supportive, collaborative team environment.</li> </ul><div> <strong>EEO & Franchise Notice<br></strong><br> </div><div>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.<br><br> </div><div>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.</div> </div> <p>Flexible work from home options available.</p>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...