RCM Specialist

Must reside in the DFW region - Remote position

About Blended Health

At Connections Wellness Group, a Blended Health Company, we provide comprehensive mental health services and accelerated group therapy, including Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP), designed to offer structured support and guidance during critical times. Our purpose is to create a safe and nurturing environment where individuals can develop coping mechanisms, build resilience, and rediscover their inner strength, ultimately leading to a more fulfilling and balanced life. We believe everyone deserves access to quality mental healthcare, and we're dedicated to being a trusted partner on our patients journey.

Summary

The Revenue Cycle Management (RCM) Specialist is responsible for managing and overseeing RCM processes for Blended Healthcare Services (dba Connections Wellness Group). They will collaborate with key stakeholders, RCM leaders, Executive Directors, vending partners, and other departments within the company to ensure that all key project milestones and timelines are achieved. The RCM Specialist position will lead initiatives and drive performance improvement in key areas. A successful RCM Specialist should be detail-oriented, accurate, accountable, balanced, with sound business judgment, and aligned with the objectives of Blended Health Services.

Essential Duties and Responsibilities

• Be responsible for RCM on a health system-level, including, payment Finance Counseling, Billing, and AR follow-up.
• Compile, analyze, and report data regarding performance and trends.
• Implement continuous improvements for policies, procedures, and processes to align with Blended Health Services "best practices"
• Submit corrected claims, appeals, special projects, etc. as needed.
• Maintain relationships with vendors and insurance provider representatives
• Maintain expertise in behavioral health collections and billing
• Maintain knowledge of and comply with established policies and procedures including government, insurance, and third-party payer regulations
• Work collaboratively with BHS accounting, data, and payor relations team
• Work collaboratively with facility staff, Executive Directors and Physicians
• Any other project as determined by the Vice President of RCM and Payor Relations

Education and Experience

Knowledge, Skills, Abilities

Connections Wellness Group is an Equal Opportunity Employer and values diversity at all levels of its organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Disclaimer

Applicants who have been patients of any program or provider at the facility are eligible for employment under the conditions outlined below : For private practice therapy and medication management, the applicant must have discontinued and / or transferred their treatment to a provider or providers outside of the facility. For PHP / IOP services, the applicant must have been discharged from the program at least 2 years prior to applying for employment.