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 business operations are working correctly and efficiently. The role involves insurance claims management, running Practice Management reports, and reporting findings to leadership. The RCS‑III manages denial functions by monitoring payor denial and slow‑pay trends, conducting root‑cause analysis, and partnering with department leadership and SMEs to develop and maintain denial‑management training and guidelines.

This position requires strong critical thinking and communication skills and collaborates with Revenue Cycle, Patient Access, Utilization Review, Medical Records, Training & Process Optimization, and Business Analyst teams.

• Analysis
  • Run Practice Management, EDI, and Data Warehouse reports to identify denied payor trends and patterns.
  • Perform root‑cause analysis of 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 accounts in delayed/open/unpaid status as assigned.
  • Communicate with insurance payors via call/email to resolve unpaid claims.
  • Navigate insurance payor portals to resolve claims.
  • Maintain denial‑management trending reports using EDI software.
  • Process medical record requests and claim adjudication adjustments as needed.
• Collaboration
  • Provide advice, consultation, and training to teammates regarding claims management processes and best practices.
  • Attend payor webinars and trainings, monitor payor websites/listservs, and share learnings with the team.
• Customer Service
  • Answer phone calls from insurance companies.
  • Assist other departments with patient concerns and questions.
• Systems Maintenance
  • Submit Practice Management edits to the Revenue Integrity Team & Data Business Analysts.
• EDI troubleshooting/User Support
• Help onboard and train new teammates and support knowledge transfer as needed
• Other duties as assigned

• High School diploma or GED
• 3‑5 years of healthcare revenue cycle experience
• 2‑3 years of working knowledge of Medical EHR and Practice Management software
• Minimum of 2 years’ computer experience with Microsoft Office
• Problem‑solving and conflict‑management skills
• Excellent organizational, planning, and decision‑making skills; pays attention to detail and can prioritize tasks
• Demonstrated ability to deliver assignments within deadlines

• 3‑5 years of behavioral health, commercial, and government payor revenue cycle experience

This position is posted as remote, but Denver, CO applicants are preferred and will be prioritized for…