Revenue Cycle Specialist III CO-Den Aspen

At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same.

As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery.

Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.

When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always.

Here, your work matters. Your ideas matter.
You matter.

If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.

Come build hope. Come save lives. Come grow with us.

This role is hybrid and requires residency within a 35-mile radius of the 80230 area. The schedule includes 3 days onsite (Tuesday, Wednesday, Thursday) and 2 days remote (Mondays and Fridays).

The Revenue Cycle Specialist III (RCS‑III) is responsible for working closely with the Supervisor and the RCS Manager to ensure that business operations are working correctly and efficiently. The RCS‑III assists insurance claims management by running practice‑management reports and reporting findings to the supervisor and RCS Manager. The RCS‑III must consistently model ERC Pathlight’s core values and ensure a positive, results‑oriented, and reliable customer experience.

The Revenue Cycle Specialist III is responsible for denial management functions for the revenue cycle department by monitoring and reporting on payor denial and slow‑pay trends and conducting root‑cause analysis. This position will interact with teammates within the department who require assistance in effectively problem‑solving a specific account‑level denial, manage a set of assigned escalated accounts, and partner with department leadership and SMEs to develop and maintain denial‑management training and guidelines.

This role requires strong critical thinking and communication skills and partners with teams across Revenue Cycle, Patient Access, Utilization Review, Medical Records, Training & Process Optimization, and Business Analysts.

• Analysis
  • Analyze completed reports regularly using available application systems (e.g., Practice Management (PM), Electronic Data Interchange (EDI), Data Warehouse) to identify denied payor trends and patterns.
  • Conduct root‑cause analysis for identified trends or specific escalated accounts and deliver recommendations for any necessary education or process changes; share findings with leadership stakeholders.
• Accounts Receivable Insurance Claims Follow‑up
  • Accountable for monitoring and resolution of specific accounts in delayed/open/unpaid status as assigned by leadership.
  • Call/Email insurance payors to resolve unpaid delayed/open/unpaid claims.
  • Navigate insurance payor portals to resolve unpaid claims.
  • Use denial‑management software (EDI) to update and maintain denial‑trending reports for distribution to users.
  • Process medical records requests when needed.
  • Process requests for claim adjudication or additional adjustments when needed.
• Collaborate with teammates as needed to provide advice, consultation, observation, and training regarding claims management process, process changes and identified best practices (e.g. EDI utilization and optimization).
• Attend payor webinars and trainings, monthly monitor payor websites/listservs for applicable notices, newsletters or process change notifications; share learnings with…