Iowa SUD Revenue Cycle Specialist

Job Title: Iowa SUD Revenue Cycle Specialist

Location: Remote - Iowa

Working Model: Remote

Employee Type: 1.0 FTE

Schedule: Flexible 8 hour shift worked between 6:00 AM and 6:00 PM

AtSagentBehavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000 team members across 80 locations in five states-we offer the stability and resources to help you thrive.

Backed by more than 100 years of combined behavioral health experience,Sagentbrings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.

Here,you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you.

The Revenue Cycle Specialist is responsible for managing and optimizing the revenue cycle for Substance Use Disorder (SUD) services. This position ensures accurate insurance verification, authorization management, claim submission and denial resolution. The specialist works collaboratively with clinical, admissions, utilization review, and finance teams to maximize reimbursement while maintaining compliance with payer, state, and federal regulations.

Full-Time Benefits:

• Medical, Dental, Vision
• 401k, Long Term Disability, Short Term Disability and Life Insurance
• PTO and Time Off
  

Responsibilities:(no more than 8 bullet points)

• Verify patient eligibility, benefits, coverage limitations, and financial responsibility prior to admission and throughout treatment.
• Document insurance verification outcomes and add insurance policies in the billing system.
• Work with appropriate staff to obtain initial authorizations and concurrent reviews for SUD treatment services.
• Submit clinical documentation required by commercial insurers, Medicaid managed care organizations, and other payers.
• Track authorization periods, approved units, and expiration dates to prevent service interruptions.
• Ensure accurate coding, documentation, and billing in accordance with payer guidelines and organizational policies.
• Coordinate with clinicians and utilization review staff regarding authorization requirements and denials.
• Regularly work hold and outstanding billing reports to ensure billing is sent in a timely manner.

Requirements:(no more than 5 bullet points)

• • High school diploma or equivalent required; associate's degree preferred.

  • Minimum two years of medical billing, behavioral health billing, or revenue cycle experience.

  • Experience with insurance verification, prior authorizations, claims processing, and collections preferred.

  • Knowledge of Medicaid and commercial insurance billing practices.

  • Proficiency with electronic health records and billing software.

Compensation: $21.00/hr

*Actual compensation may bedeterminedbyvarious factorssuch as education, experience, skillset, internal equity,scheduleand/or location.

* Employees in these positions are W2.

SagentBehavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.