Revenue Cycle Specialist

Mebe LLC

Job Overview

Location

San Diego

Job Type

Full-time

Full Job Description

📋 Description

• MeBe Family is a provider of evidence-based therapies for children with autism and other special needs.
• Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches.
• Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT.
• At MeBe, you’ll be offered more than a job. You’ll receive training and support to develop a career in Applied Behavior Analysis and grow as an individual.
• You’ll work with extraordinary team members who share a common goal, to help children with autism be their best selves.
• Your days will be filled with meaning and purpose.
• MeBe is seeking a Revenue Cycle Specialist specializing in ABA - Applied Behavioral Analysis, Speech Therapy and Occupational Therapy.
• We are looking for an experienced individual who has a solid understanding of all aspects of the revenue cycle process from knowledge of insurance verification to ensure the accuracy and timely processing of claims, maximize revenue, and minimize financial risks to the organization.
• The candidate should have the essential skills to exercise good judgment and demonstrate professionalism.
• As a Revenue Cycle Specialist, you will be responsible for submitting claims, processing follow-up on payer appeals, and communicating with manager on status of claims.
• You will ensure claims are coded correctly according to the current CPT, ICD-10, and HCPCS guidelines.
• You will follow up on accounts receivable, contacting insurance carriers as needed to get maximum payment on accounts and identify issues or changes to achieve profitability.
• You will perform secondary billing & patient invoicing along with follow-up.
• You will process on-line adjustments to insurance claims.
• You will comply with audit requests by insurance carriers in a timely fashion.
• When necessary, you will review medical records and resubmit claims with appropriate documentation to expedite claims processing (adhering to confidentiality requirements).
• You will accurately process corrections on accounts and/or active claims by error correcting or voiding transactions.
• You will thoroughly research credit balances and process insurance refunds or adjustments as needed.
• You will be responsible for keeping up to date with current insurance billing requirements and stays current on new billing guidelines.
• You will actively participate in departmental and/or organizational process improvement initiatives.
• You will assist providers and staff in other departments with insurance and billing inquiries in a friendly and professional manner while on the phone or corresponding through email.
• You will work on special projects related to A/R clean up as requested by the manager.
• You will perform other tasks as requested.

🎯 Requirements

• Minimum of 3+ years of billing experience, required.
• Associate and/or Medical Billing Certification preferred. (AHIMA, AAPC)
• Knowledge of Behavioral Health and ABA medical billing, medical codes & practices, required.
• Familiar with most Medical Insurance Payors (Medicare, Medi-Cal, HMO, FFS, TPAs, PPO and IPAs), required.
• Knowledge of Occupational Therapy, and Speech-Language Therapy billing codes & practices, preferred.
• Computer experience is essential, including, but not limited to practice management software - familiar with Central Reach a HUGE plus.
• Reliable internet, required.
• High degree of accuracy and attention to detail.
• Strong oral / written communication skills.
• Ability to multitask in a fast-paced environment while dealing with frequent interruptions.
• Possess a strong sense of urgency, organized and energetic team player who can work in both a team environment and independently.
• Punctual, dependable, adaptable and responsible; able to pick up and learn tasks quickly. Self-starter.
• Excellent customer service skills.
• Strong desire to meet the needs of families.

🏖️ Benefits

• Industry Benchmarked, competitive pay based on location and experience
• Paid days off
• Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents
• Life, AD&D, Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance
• Invest in your mental health with access to free mental health sessions
• Protect your pet with discounted pet insurance
• Secure your future with our 401k program
• Tuition discounts available to all employees through our University Partnerships
• Expansive treatment spaces
• Options for positions in variety of settings: clinic; in-home
• Scheduling department handles reschedules, cancellations and permanent changes to schedules
• Work tools provided
• Company sponsored, fun events for everyone

Skills & Technologies

Onsite

$23-27/hr

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Mebe LLC

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About Mebe LLC

Mebe LLC is a San Francisco-based software company that develops cloud-native data infrastructure and analytics platforms. Founded in 2017, the firm specializes in real-time data pipelines, observability tooling, and automated data quality frameworks for enterprise clients. Its flagship product provides scalable ingestion, transformation, and monitoring capabilities designed for high-volume telemetry and event streams. The company serves technology, fintech, and e-commerce organizations seeking to unify disparate data sources and accelerate analytics workflows. Mebe operates as a privately held Delaware corporation with distributed engineering teams across North America and Europe.

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