This role is hybrid and requires residency within a 30-mile radius of the 80230 area. The schedule includes 3 days onsite and 2 days remote each week.

You are experienced, talented, and motivated. You have the discipline and want to invest it in an opportunity that will invest in you. You want to add more meaning to the work you do every day.

At ERC Pathlight, our mission lights the way for your passion.

Who we are

With over 30 locations throughout the U.S. and treatment options available virtually, ERC Pathlight meets patients where they’re at to offer innovative, compassionate, and comprehensive treatment for eating disorders, as well as mood, anxiety and trauma-related disorders.?

We were founded in 2008 by pre-eminent psychiatrists and psychologists and treat 6,000+ patients per year. With the critical need for mental health care and eating disorder treatment, especially during the Covid-19 pandemic, we’re looking for passionate and qualified professionals who will live out our mission to help save the lives of our patients.

What you’ll be doing

In a corporate role at ERC Pathlight, you can expect to be a part of a team that not only drives the mission but introduces it to prospective patients, family members of those in need of care and medical professionals who refer their patients.

This is by no means a “behind-the-scenes" role, as your work will serve patients daily in a multitude of ways.

Revenue Cycle Specialist is responsible for the following but not limited to:

• Submitting accurate and complete insurance claims in compliance with payer requirements, promptly.

• Reviewing and correcting claim edits and rejections, timely.

• Researching and resolving denials by working directly with payers and internal departments, which will include claim appeals

• Identifying root causes of denials and escalating trends for correction or prevention.

Your Skills and Experience:

• Healthcare revenue cycle experience (minimum 1-3 years, preferrable behavioral health, Commercial and Government Payers)

• Knowledge of the insurance industry and third-party coding, reimbursement/claims payment practices/guidelines, denial and appeal management

• Excellent internal and external customer service AKA “soft skills”

• Sharp verbal and written communication skills

• Relates comfortably with people across all levels and functions

• Compassionate and customer-focused

• Nimble learner- adapts to new technology and process quickly

• Follows through on commitments and meets deadlines

• Proficient in Microsoft Suite

Must haves

• High School Diploma/GED

• Associates Degree - preferred

Essential Duties:

• Hybrid schedule: 3 days onsite in our Denver office (80230) and 2 days remote each week.

• Outstanding AR follow-up and claims denial management

• Troubleshoot reimbursement issues, report denial trends and underpayments

• Support overall revenue cycle processes to achieve established targets and goals

• Completion of special/specific assigned projects and other duties/tasks as assigned.

What You Can Expect:

• We are team-centric with an open communication culture, and we want to coach you to excellence.

• You will work in a collaborative environment where you are encouraged to grow and develop your professional skills.

How we invest in you

Every role at ERC Pathlight is essential to delivering the high-quality care we promise to our patients. This means that from day one, we’re here to support your role whether that means collaborating on monthly/quarterly goals, introducing you to mentors you can learn from, connecting you to continuing education resources and supplying you with the tools needed to not only excel but achieve measurable growth.

What we offer

Healthy organizations value the mental wellness of their teams, and we understand that the professionals who work for us are not immune to their own mental health conditions. In the same way we observe and guide our patients, we take the same consideration for our employees when building our benefits packages and healthcare offerings. We offer competitive pay, comprehensive benefit plans, Generous Paid Time Off, 401(K) with company match and tuition reimbursement.

Compensation starting range for the Revenue Cycle Specialist III role is $25.00 - $28.00 per hour. Ranges are based upon market expectations and are dependent upon candidate experience.