Revenue Cycle Specialist - AR

Behavioral Health Group - BHG; Brooklyn Park (MN); Hybrid; USD 34,440,000 - 37,195,000; Full time

Benefits offered by this job

Annual bonus potential

Hybrid schedule

Health, vision, and dental insurance

401K match

Job summary

Behavioral Health Group - BHG is seeking a Revenue Cycle Specialist to join our hybrid team in Minnesota. You will review claims, ensure eligibility and prior authorizations, and submit claims to maximize reimbursements across Medicaid and other payers.

Ideal candidates have a minimum of 2 years in revenue cycle management and strong accuracy in data entry, with a focus on compliance and timely reporting. This role offers a hybrid schedule and potential annual bonuses.

Qualifications

• 2+ years of RCM experience, specifically AR with government and commercial payors.
• High school diploma or equivalent

Responsibilities

• Reviews claims data to ensure 3rd party billing requirements are met.
• Reviews claims to ensure eligibility, prior authorizations and proper signatures.
• Submits claims in an organized sequence to achieve reimbursement from private payers, insurance companies and government healthcare programs (Medicaid, VA, etc.).
• Investigates denied claims through research and applicable correspondence and follows through to resolution.
• Successfully resolves payment discrepancies in a timely manner.
• Escalates issues appropriately and promptly to supervision.
• Verifies and informs treatment center staff about the patient’s financial accountability and 3rd party reimbursement, as applicable.
• Posts payments and adjustments while ensuring all deposits are balanced daily.
• Documents payment records and issues as they occur.
• Completes reporting requirements as required by company policy and requested by supervision.
• Demonstrates an understanding of NPI, taxonomy and electronic claim submission requirements.
• Identifies underpayments and overpayments/credits to determine steps for resolution.
• Retrieves missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.).
• Reads debits and credits on accounts and takes necessary action to resolve.
• Performs other duties assigned by supervision.
• Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies.
• Attend conferences, meetings and training programs as directed.
• Participate in and/or schedule and attend regular in‑service trainings.
• Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment
• Responsible for complying with all federal, state and local regulatory agency requirements
• Marketing and Outreach
• Participate in community and public relations activities as assigned.
• Professional Development
• Responsible for the achievement of assigned specific annual goals and objectives
• Demonstrates the belief that addiction is a brain disease, not a moral failing
• Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
• Establishes and maintains positive relationships in the workplace
• Can work independently and under pressure while handling multiple tasks simultaneously
• Makes decisions and uses good judgment with confidential and sensitive issues
• Deals appropriately with others in stressful or other undesirable situations

Skills

RCM experience

Education

High school diploma or equivalent

Job description

Starting pay range $25.00/hr - $27.00/hr depending on experience, plus annual bonus potential.

This position is a hybrid schedule: Three days in the office/clinic and two days working from home.

Job Summary

This position will act as a key member of the Revenue Cycle Department and reports to the Director, Contract and Revenue Cycle. The Revenue Cycle Specialist will help facilitate claims, payments, and verifications daily. The Revenue Cycle Specialist will provide updates and reports on the financial stability of the treatment centers.

The Revenue Cycle Specialist will be responsible for reviewing claims data to ensure insurance requirements, eligibility, prior authorizations and proper signatures are secured prior to submission. Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs with heavy concentration in Medicaid. Will investigate declined claims through research and applicable correspondence in order to successfully resolve payment discrepancies.

Summary Of Essential Job Functions

Duties and Responsibilities

• Reviews claims data to ensure 3rd party billing requirements are met
• Reviews claims to ensure eligibility, prior authorizations and proper signatures
• Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs Medicaid, VA, etc.)
• Investigates denied claims through research and applicable correspondence and follows through to resolution
• Successfully resolves payment discrepancies in a timely manner
• Escalates issues appropriately and promptly to supervision
• Verifies and informs treatment center staff about the patient’s financial accountability and 3rd party reimbursement, as applicable
• Posts payments and adjustments while ensuring all deposits are balanced daily
• Documents payment records and issues as they occur
• Completes reporting requirements as required by company policy and requested by supervision
• Demonstrates an understanding of NPI, taxonomy and electronic claim submission requirements
• Identifies underpayments and overpayments/credits to determine steps for resolution
• Retrieves missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.)
• Reads debits and credits on accounts and takes necessary action to resolve
• Performs other duties assigned by supervision

Regulatory

• Responsible for complying with all federal, state and local regulatory agency requirements
• Responsible for complying with all accrediting agencies
• Marketing and Outreach
• Participate in community and public relations activities as assigned.
• Professional Development
• Responsible for the achievement of assigned specific annual goals and objectives
• Demonstrates the belief that addiction is a brain disease, not a moral failing
• Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
• Establishes and maintains positive relationships in the workplace
• Can work independently and under pressure while handling multiple tasks simultaneously
• Makes decisions and uses good judgment with confidential and sensitive issues
• Deals appropriately with others in stressful or other undesirable situations

Training

• Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies
• Attend conferences, meetings and training programs as directed
• Participate in and/or schedule and attend regular in‑service trainings

Other

• Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment

Qualifications

The Revenue Cycle Specialist must have the following qualifications.

• High school Diploma or equivalent
• At least 2 years of RCM experience, specifically in AR with government and commercial payors.

Ideal Candidate Characteristics

• High integrity
• Excellent verbal and written communication skills
• Sound judgment
• Efficient
• Self-starter
• Strong interpersonal communication skills
• Valid driver's license.
• Healthcare experience preferred.
• Experience in front desk, admissions, billing, and/or collections.
• Excellent verbal and written communication skills.
• Strong customer service and interpersonal communication skills.
• Accurate data entry and basic keyboarding skills.
• Ability to work independently under pressure and handle multiple tasks simultaneously.
• Ability to enforce fee collection policies.
• Basic computer/word processing skills.
• Knowledge and use of typical office equipment (calculator, fax machine, copier, computer, telephone, postage meter, scales, scanner, and computer programs).
• Knowledge of basic math, accounting, and accounts receivable.

Physical Requirements And Working Conditions

• Communicate effectively by phone or in person.
• Vision adequate to read correspondence and computer screens.
• Prolonged sitting, some bending, stooping, and stretching.
• Manual dexterity for operating office equipment.
• Variable workload and periodic high stress.
• Standard medical office environment.
• Interaction with patients with various health and legal issues.
• Extended keyboarding periods.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by team members assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of team members so classified. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed, and this job description may be updated at any time.

BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.

Why Join BHG?

• Work-Life Balance: Enjoy generous paid time off, holidays, and personal needs. Benefit from flexible schedules with early in/early out hours, no nights, and no Sundays.
• Investment in Your Growth: Prioritize your development with role‑based training and advancement opportunities.
• Comprehensive Benefits: Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy tuition reimbursement and competitive 401K match.
• Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.
• Employee Perks: Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self‑care series.

At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.

Starting Pay Range: $23-$27