Revenue Cycle Data Entry Specialist Behavioral Health Claims & EHR Management
vacancy global pro Verified employer
Actively hiring · Posted 6d ago · JEV2610A281EA1140
Job description
Welcome to arenaflex Pioneering Excellence in Behavioral Health Revenue Cycle Management
At arenaflex, we are dedicated to transforming the way behavioral health organizations navigate the complexities of revenue cycle operations. Our mission is to empower providers with seamless, datadriven solutions that enhance financial performance while preserving the dignity and care of every patient. As a remotefirst organization, we blend cuttingedge technology with a collaborative culture that values flexibility, continuous learning, and a deep commitment to equity and inclusion.
Why This Role Matters
The Revenue Cycle Data Entry Specialist is the backbone of our claims processing engine. By accurately entering and managing data across multiple electronic health record (EHR) platforms, you ensure that our clients receive timely reimbursements, maintain compliance with state and federal regulations, and ultimately sustain the delivery of highquality behavioral health services. This position offers a unique opportunity to work at the intersection of health informatics, finance, and patient advocacyall from the comfort of your own home.
Role Overview
As a member of the arenaflex Revenue Cycle Team, you will be responsible for precise data entry, claim analysis, and quality assurance activities within our proprietary EHR environment (formerly known as CareLogic) and other integrated systems. You will collaborate closely with claims specialists, billing analysts, and client stakeholders to resolve complex billing scenarios, support bulk claim actions, and maintain the integrity of financial data across the organization.
Key Responsibilities
Enter and validate claim data in arenaflexs EHR platform, ensuring accuracy and adherence to payer guidelines.
Analyze credit balances on claims with intricate scenarios and recommend appropriate claim actions.
Perform adjustments for claims with credit balances, documenting rationale for audit trails.
Review denial notices for timely filing, input correct denial reasons, and submit writeoff approvals.
Execute bulk claim actions as identified by senior claims specialists, prioritizing efficiency and compliance.
Process secondary claims that have been satisfied by primary payers, ensuring proper coordination of benefits.
Conduct selfdirected Quality Assurance (QA) checks on all entered data and generate concise reports for continuous improvement.
Maintain uptodate knowledge of outpatient behavioral health insurance coverage, including Medicaid and commercial plans.
Utilize reputed company Sheets, reputed company Excel, and email communication tools to track progress, flag issues, and collaborate with remote team members.
Participate in regular virtual team meetings, training sessions, and processenhancement workshops.
Adhere to arenaflexs data security and privacy policies, safeguarding protected health information (PHI) at all times.
Essential Qualifications
Education: High School diploma or GED required; additional coursework in health administration, finance, or related fields is a plus.
Experience: Minimum of one (1) year of handson data entry experience in a healthcare or insurance setting.
Technical Proficiency: Demonstrated ability to navigate EHR systems, with a focus on arenaflexs CareLogic platform, and strong command of reputed company Sheets and reputed company Excel.
Analytical Skills: Ability to review complex claim scenarios, identify discrepancies, and propose corrective actions.
Communication: Excellent written communication skills, including drafting clear, professional emails and chat messages.
Remote Work Capability: Proven track record of working independently, managing time effectively, and maintaining productivity in a virtual environment.
Regulatory Knowledge: Familiarity with Massachusetts Medicaid products and general behavioral health insurance coverage requirements.
Preferred Qualifications & Additional Experience
Experience managing multistakeholder projects with a history of delivering on schedule and meeting quality benchmarks.
Prior exposure to other EHR platforms such as reputed companys myEvolv or Meditechs systems, demonstrating adaptability to varied software environments.
Certification or coursework in health information management, medical billing, or related disciplines.
Demonstrated ability to perform highvolume bulk claim processing while maintaining meticulous attention to detail.
Experience with quality assurance methodologi .
Key skills
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