Revenue Cycle Specialist — Claims, Denials & Appeals

Lighthouse Behavioral Wellness Centers; Ardmore (OK); On-site; USD 71,635,000 - 77,146,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Employee assistance program

Health insurance

Health savings account

Life insurance

Paid time off

Professional development assistance

Vision insurance

Job summary

Lighthouse Behavioral Wellness Centers in Ardmore, OK, is seeking a Revenue Cycle Specialist to review, adjust, and collect on Medicaid, Medicare, and private payer claims. You will support the Revenue Cycle team in ensuring claims meet billing standards and monitor trends for continuous improvement.

The role emphasizes attention to detail, collaboration with clinical staff, and proficiency with Excel/Word, with a focus on reducing denials and enhancing payment resolution.

Qualifications

• High school diploma or its equivalent.
• Experience in the medical field, medical billing/claims, explanation of benefits, denials, or medical billing preferred.

Responsibilities

• Review, adjust and process Medicaid, Medicare, and private insurance claims.
• Identify and correct errors to prevent billing denials and ensure timely submission.
• Collaborate with Revenue Cycle team to resolve issues and improve workflows.
• Review and analyze denials to determine root causes and communicate findings.

Skills

Relationship building

Self-starter

Detail oriented

Multi-tasking

Education

High school diploma

Tools

Excel

Word

Job description

Lighthouse Behavioral Wellness Centers in Ardmore, OK, is seeking a Revenue Cycle Specialist to review, adjust, and collect on Medicaid, Medicare, and private payer claims. You will support the Revenue Cycle team in ensuring claims meet billing standards and monitor trends for continuous improvement.

The role emphasizes attention to detail, collaboration with clinical staff, and proficiency with Excel/Word, with a focus on reducing denials and enhancing payment resolution.