Revenue Cycle Specialist III

Who We Are

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.

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 is committed to consistently modeling ERC Pathlight’s core values and ensuring a positive, results‑oriented, and reliable customer experience.

The RCS‑III manages denial functions for the revenue cycle department by monitoring and reporting on payer denial and slow‑pay trends and conducting root‑cause analysis. This position interacts with teammates across the department to solve specific account‑level denials, manage assigned escalated accounts, and partner with leadership and SMEs to develop and maintain denials‑management training and guidelines. Strong critical thinking and communication skills are required.

The RCS‑III collaborates with teams in Revenue Cycle, Patient Access, Utilization Review, Medical Records, Training & Process Optimization, and Business Analysts.

• Analysis
  • Analyze regularly utilizing available application systems (e.g., Practice Management (PM), Electronic Data Interchange (EDI), Data Warehouse) to identify denied payer trends and patterns.
  • Conduct root‑cause analysis related to identified trends or specific escalated accounts and deliver recommendations for education and/or process changes; share findings with leadership stakeholders.
• Accounts Receivable Insurance Claims Follow‑up
  • Monitor and resolve 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 denials management software (EDI), update and maintain denials trending reports for distribution to users.
  • Process medical records requests when needed.
  • Process requests for claim adjudication or additional adjustments when needed.
• Collaboration
  • Collaborate with teammates 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; monitor payor websites/listservs monthly for notices, newsletters, or process change notifications and share learnings with teammates.
• Customer Service
  • Answer phone calls from insurance companies in the queue.
  • Assist other departments with patient concerns/questions when needed.
• Systems Maintenance
  • Submit Practice Management edits to Revenue Integrity Team & Data Business Analysts.
• EDI troubleshooting/User Support
• Help onboard and train new…