Revenue Cycle Specialist

Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We are building out our teams to support the expansion of global operations.

Requirements

• Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims.
• Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams.
• Submit corrected claims, appeals, and additional documentation as required to secure reimbursement.
• Document all collection activities clearly and accurately within our systems.
• Monitor payor trends and escalate recurring issues to leadership.
• Meet or exceed daily, weekly, and monthly productivity and quality standards.
• Support special projects and process improvement initiatives as assigned.
• Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
• Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
• Status claims and add notes in the patient accounting system (CollaborateMD)
• Escalate any payor or client claim issues to department leadership
• Establish/maintain effective communications with the leadership team to ensure that all third-party guidelines are satisfied
• Update patient demographics and insurance information as needed
• Ability to meet KPI established metrics for productivity

Benefits

• 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Medical, dental, vision, long-term disability, and life insurance.
• Generous 401(k) with up to 6% employer match.