Accounts Receivable (AR) Analyst/Senior Analyst - RCM

Company Description

BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries. BETSOL team holds several engineering patents, is recognized with industry awards, and BETSOL maintains a net promoter score that is 2x the industry average.

BETSOL’s open source backup and recovery product line, Zmanda (Zmanda.com), delivers up to 50% savings in total cost of ownership (TCO) and best-in-class performance.

BETSOL Global IT Services (BETSOL.com) builds and supports end-to-end enterprise solutions, reducing time-to-market for its customers.

BETSOL offices are set against the vibrant backdrops of Broomfield, Colorado and Bangalore, India.

We take pride in being an employee-centric organization, offering comprehensive health insurance, competitive salaries, 401K, volunteer programs, and scholarship opportunities. Office amenities include a fitness center, cafe, and recreational facilities.

Job Description

Position Overview

We are seeking an experienced AR Analyst/Senior Analyst specializing in Revenue Cycle Management (RCM). This remote position plays a crucial role in managing and optimizing our revenue cycle processes, with specific focus on mental health billing, denial management, eligibility verification, and credentialing.

Key Responsibilities

• Analyze and resolve claim denials specific to mental health services and treatments
• Perform detailed eligibility and benefits verification for behavioral health services
• Manage provider credentialing for mental health professionals
• Handle billing related to various mental health services including therapy sessions, psychiatric evaluations, and intensive outpatient programs
• Monitor and track denial trends specific to mental health claims
• Collaborate with insurance companies regarding mental health coverage and authorizations
• Generate and analyze reports to track key performance metrics
• Implement best practices for denial prevention in mental health billing
• Maintain accurate documentation while ensuring HIPAA compliance and patient confidentiality

Qualifications

Required Qualifications

• 2-5 years of experience in Healthcare Revenue Cycle Management, preferably in mental/behavioral health
• Strong expertise in denial management, eligibility & benefits verification, and credentialing
• Knowledge of mental health billing requirements and regulations
• Experience with behavioral health CPT codes and billing modifiers
• Familiarity with mental health insurance coverage and authorizations
• Proficiency in healthcare billing software and MS Office applications
• Strong analytical and problem-solving skills
• Excellent communication and documentation abilities

Preferred Qualifications

• Experience with mental health or behavioral health billing
• Knowledge of specific mental health billing regulations and compliance requirements
• Understanding of mental health parity laws
• Bachelor's degree in Healthcare Administration, Finance, or related field
• Certifications in Medical Billing or Revenue Cycle Management

Required Skills

• Strong attention to detail and accuracy
• Experience with mental health EHR systems
• Knowledge of behavioral health billing guidelines
• Ability to work independently in a remote environment
• Excellent time management and organizational skills
• Strong problem-solving and analytical capabilities
• Proficiency in virtual collaboration tools
• Ability to maintain productivity during night shift hours

Additional Information

Working Conditions

• Location: Fully Remote
• Schedule: Monday to Friday
• Shift Timing: 6:30 PM to 3:30 AM IST (Night Shift)
• Employment Type: Full-time

The ideal candidate will demonstrate a strong understanding of mental health billing requirements while maintaining high performance standards in a remote work environment. Must be comfortable working independently during night shift hours while effectively communicating with team members across different time zones.