Medical Billing - Revenue Cycle Specialist

Hours: 8:00 am - 5:00 pm, Monday to Friday

• South Jordan, UT office

We are seeking a highly skilled and detail-oriented Billing Specialist to join our South Jordan, Utah team. In this role, you will manage the end-to-end billing process, ensuring claims are processed accurately and efficiently. This is a key position for a professional who thrives in a fast-paced environment and is passionate about optimizing revenue cycle operations.

OCD Anxiety Centers has a true passion for bringing help and hope to some of the most underserved clinical populations. We strive to change the lives of individuals and their families who have been suffering from unrelenting anxiety, disturbing and terrifying thoughts, uncontrollable worry, exhausting behaviors and rituals, and avoidance that keeps them from living their lives. We are an evidence-based practice, which means we do what works, we stay up to date with scientific research, and we regularly attend international training to keep us at our very best.

• A competitive base salary with performance-based bonuses
• Core benefits: medical/dental/vision, with the company contribution to medical benefit for employee
• Company-paid employee life insurance
• Voluntary benefits
• Paid time off includes 15 days (120 hours) of “Paid Time Off”, 5 days (40 hours) of “Sick Time”, and 9 days (72 hours) “Company holiday” pay
• Paid specialized ongoing training, strengthening your skills, experiences, and connections that will help advance your career

The success of our organization is dependent on the trust and confidence we earn from our employees, clients, and community. Our values are connected to our work at OCD Anxiety Centers and are measured against the highest possible standards of ethical business conduct:

• Growth
• Proactivity
• Positivity
• Results Driven

We set the bar that high for practical and aspirational reasons. Candidates with similar ethical standards, who have the ability to adapt in a fast-moving working culture, and are committed to providing excellent client service are encouraged to apply.

Claim Management:

• Oversee the full lifecycle of claims, from submission to final payment, for professional and facility services.
• Communicate with insurance companies to resolve denials, underpayments, and other discrepancies.
• Use payer portals (e.g., Availity ) to verify eligibility and claims status.
• Submit medical records, file appeals, and process reconsiderations to maximize reimbursements.

Billing and Compliance:

• Ensure claims comply with current coding standards (CPT, ICD-10) and regulatory requirements.
• Post payments, reconcile accounts, write off balances, and prepare patient statements as necessary.
• Leverage tools such as Optum Encoder Pro to review and verify billing accuracy.
• Handle negotiations with third-party vendors (e.g., Multiplan, MARS, Zelis) for OON claims and Single Case Agreements.

Communication and

Collaboration:

• Provide exceptional customer service to patients with billing inquiries, including setting up payment plans.
• Collaborate with payers to resolve issues and track escalated account trends.
• Communicate billing and system updates effectively to management and team members.

Data Management and Reporting:

• Maintain detailed records of claim statuses, payments, and adjustments.
• Prepare performance reports to identify trends and areas for improvement.
• Support audit requests by ensuring all documentation is accurate and up to date.

Education and Experience:

• High school diploma or equivalent (required);
  Associate s or Bachelor s degree in a related field (preferred).
• Minimum of 3 years of experience in medical billing, collections, or revenue cycle management.

Technical

Skills:

• Proficiency in medical billing software and EHR systems (e.g., Imagine, ADS).
• Knowledge of HICFA, UB04, Tax , NPI, and insurance guidelines for OON claims.
• Familiarity with payer processes, including Gap exceptions, prior authorizations, and federal IDR arbitration.
• Experience with Microsoft Office applications (Word, Excel, Teams)
• Prior experience handling OON provider registration with major payers.

Soft…