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

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

Role: Technical Support - Non Voice

Industry Type: IT Services & Consulting

Department: Customer Success, Service & Operations

Employment Type: Full Time, Permanent

Role Category: Non Voice

Education

UG: Any Graduate

PG: Any Postgraduate

About the company

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, delivers up to 50% savings in total cost of ownership (TCO) and best-in-class performance.

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