Revenue Cycle Management Specialist

Tn-Smyrna- Hybrid - UsHybridmid

OtherRevenue Cycle Management

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Quick Summary

Technical Tools

OtherRevenue Cycle Management

Benefits:

Competitive salary
Health insurance
Opportunity for advancement
Paid time off
Training & development
Dental insurance
Vision insurance

About Ellie

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.

Position Overview

The Revenue Cycle Management (RCM) Specialist 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.

Key Responsibilities

Billing & Claims

Submit timely, accurate insurance claims.
Monitor and resolve denials, rejections, and underpayments.
Post payments, reconcile accounts, and maintain clean A/R.
Communicate with payers to resolve coding or coverage issues.
Ensure compliance with CPT coding, payer rules, and documentation standards.

Provider Credentialing & Enrollment

Manage full-cycle credentialing, including CAQH, panel applications, and recredentialing.
Track application progress and follow up with payers.
Maintain accurate provider records and payer IDs.
Support onboarding by ensuring providers are billable with required networks.

Contract Applications & Payer Relations

Submit and track new payer contract applications.
Maintain records of contracts, effective dates, and reimbursement schedules.
Assist leadership with rate reviews and contract summaries.
Coordinate with payer representatives to support strong network relationships.

Revenue Cycle Optimization

Identify opportunities to improve billing workflows and reduce A/R days.
Create and refine SOPs for billing, credentialing, and contract management.
Provide reporting on cash flow, A/R, and payer performance.
Collaborate with clinical/admin staff to support accurate documentation.

Qualifications

Required

2+ years in medical billing, RCM, or credentialing (behavioral health preferred).
Strong knowledge of insurance billing, EOBs, and CPT/ICD‑10.
Experience with EHR/practice management platforms (e.g., Valant).
Excellent attention to detail, time management, and communication skills.

Preferred

Experience credentialing behavioral health providers.
Knowledge of CAQH, Availity, and payer portals.
Ability to track and interpret RCM‑related KPIs.

Compensation & Benefits

Competitive salary based on experience.
Health, dental, and vision insurance.
PTO and paid holidays.
Professional development opportunities.
Supportive, collaborative team environment.

EEO & Franchise Notice

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.

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.

Flexible work from home options available.