The Revenue Cycle Management (RCM) Specialist is responsible for accurate and timely insurance billing, authorizations, and payment posting for Elevation Autism Center clients. This role focuses on day-to-day billing execution, benefit verification, claim submission, and follow-up to ensure clean claims and timely reimbursement. The RCM Specialist works closely with the RCM Supervisor and team members to support department goals and maintain compliance with payor and regulatory requirements.
This is an individual contributor role ideal for someone with strong billing fundamentals who is detail-oriented, organized, and comfortable working in a fast-paced healthcare environment.
Who We Are & Why Elevation
At Elevation Autism Center, we are more than a locally owned provider of ABA and Speech therapy; we are a values-driven community committed to empowering children and families through compassionate, evidence-based care. We believe in supporting our team as much as we support our clients. If you have a passion for leading teams and fostering development in a supportive environment, Elevation Autism Center is the perfect place for you!
Your Day to Day & Responsibilities
Billing & Claims
- Submit and manage insurance claims for ABA and related therapy services
- Ensure claims are accurate, complete, and submitted within timely filing limits
- Research and resolve rejected or denied claims
- Process corrected, voided, and manual claims as needed
- Maintain accurate claim and authorization data in billing systems
Authorizations & Benefits
- Verify insurance benefits and maintain benefit records in practice management systems
- Request, track, and maintain service authorizations
- Support eligibility audits and documentation requirements
- Communicate authorization and benefit information internally as needed
Payments & AR Support
- Post insurance and patient payments accurately
- Assist with AR follow-up on aging claims (30+ days)
- Escalate unresolved issues to the RCM Supervisor
Compliance & Documentation
- Maintain accurate client and insurance documentation
- Follow HIPAA and all applicable state and federal regulations
- Support payor audits and records requests as assigned
Team Support
- Collaborate with RCM team members to meet billing timelines and goals
- Participate in training and process improvement efforts
- Other billing-related duties as assigned
Requirements
- 1–3 years of healthcare billing experience
- Experience with insurance claims submission and follow-up
- Familiarity with benefit verification and authorizations
- Strong attention to detail and organizational skills
- Ability to manage multiple tasks and deadlines
- Basic understanding of HIPAA and patient data privacy
Preferred
- Experience billing ABA, behavioral health, or therapy services
- Experience with Medicaid and secondary Medicaid
- Experience using electronic billing or practice management systems
- Prior experience in a multi-location healthcare organization
NOTE: This job description is not intended to detail all aspects of this position but rather to summarize it for you and may be updated at any time.
Benefits
- Health Reimbursement Account: $550 per month for individual, or $900 per month for family (Eligible at date of hire)
- Retirement Matching: Up to 3% of salary annually (Eligible for match after 6 months)
- Vision, Dental, STD, and Other Voluntary Benefits available (Eligible after 30 days)
- Paid Time Off (PTO): 15 days annually
- Paid Company Holidays: 10 days annually
- Unpaid Time Off: 10 days annually
- Paid Family Leave Policy