Revenue Cycle Specialist

Arrow-Child-; Spring (TX); On-site; USD 45,000 - 50,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

HSA match

Parental leave

Retirement plan

Paid time off

Mileage reimbursement

Tuition reimbursement

Learning and development

Job summary

Arrow-Child- is seeking a Revenue Cycle Specialist to oversee Medicaid policies, billing, and collections across services, ensuring compliant coding and timely submissions. You will analyze denials, report trends, and collaborate with internal teams to improve revenue outcomes.

Ideal candidates have a bachelor’s in a related field and at least five years in revenue cycle operations, including billing, coding, and denial management, with strong knowledge of HIPAA.

Qualifications

• Bachelor's degree in human services, business, finance, statistics, or related field; master's preferred.
• Minimum five years of revenue cycle experience in healthcare including billing, coding, reimbursement, data analysis and risk management.
• Experience with Medicaid policies and denial management is a plus.

Responsibilities

• Confirm patient insurance eligibility and submit claims to third-party payers.
• Communicate with internal stakeholders to address billing questions.
• Review and submit claims accurately, ensuring payer compliance.
• Track unpaid claims and resolve denials with payers within deadlines.
• Prepare and submit appeal letters with required documentation.
• Monitor aging reports and minimize payment delays.
• Stay updated on regulations, payer policies, and coding changes, HIPAA.
• Ensure compliance with state and federal regulations and Arrow policies.
• May drive company vehicle; travel may be required.

Skills

Billing & coding

CPT/ICD-10 coding

Denials management

HIPAA compliance

Stakeholder communication

Education

Bachelor's degree in human services, business, finance, statistics, or related field

Master's degree preferred

Job description

Overview

The Revenue Cycle Specialist's primary responsibility is the assurance of Medicaid policies & procedures across all Arrow services. These processes will inform and improve practices that have a direct impact on services to children, families, and compliance. This position is responsible for accurately billing and collecting on Medicaid claims, working denials, and reporting denial trends in internal stakeholders.

Benefits Include

• Medical, dental, vision, and supplemental insurance options, including HSA match for qualifying contributions.


• Parental Paid Leave


• Retirement savings plan with company match.


• Paid time off and holiday pay.


• Mileage reimbursement.


• Tuition reimbursement available.


• Company sponsored learning and development

Min

USD $45,000.00/Yr.

Max

USD $50,000.00/Yr.

Responsibilities

Other duties may be assigned as necessary.

• Confirming patient insurance eligibility, correctly assigning medical codes (CPT/ICD-10), and preparing and submitting claims to third-party payers.


• Communicate with internal stakeholders to address billing questions and concerns.


• Review and submit insurance claims accurately, ensuring compliance with payer requirements and coding standards.


• Track and follow up on unpaid claims, working with payers to resolve denials and rejections within deadlines.


• Prepare and submit letters of appeal for denied claims, ensuring that all required documentation is included.


• Monitoring aging reports, tracking outstanding balances, and minimizing payment delay.


• Maintain up-to-date knowledge of industry regulations, payer policies, and coding changes.


• Ensure compliance with all state and federal regulations, including HIPAA.


• Perform all duties within contract, state and federal regulations, Arrow policy, NCASES and COA standards.


• May be required to drive vehicles, be insurable with our auto insurance provider, and complete company vehicle training.


• Occasional travel may be required.

Qualifications

Bachelor's degree in human services, business, finance, statistics, or related field required, master's degree preferred. The ideal candidate will have child welfare experience with a minimum of five (5) years relevant experience in revenue cycle operations, including billing, coding, reimbursement process, data analysis and risk management.