Behavioral Health Solutions is seeking a highly organized, detail-oriented Senior RCM Billing Specialist to support our growing, multi-state healthcare organization. This role serves as the primary internal point of coordination between Behavioral Health Solutions (BHS) and its third-party billing partner. This role supports accurate and timely revenue cycle processes by facilitating communication, coordinating internal follow-up and documentation needs, and assisting with billing activities that remain the responsibility of BHS, including direct billing to certain state, local, or other governmental agencies as required.
What You’ll Do
Serve as the primary day-to-day liaison between BHS and the third-party billing company, coordinating questions, requests, issue resolution, and follow-up.
Coordinate internal support needed by the third-party billing company, including obtaining information, documentation, approvals, corrections, or clarification from appropriate BHS departments.
Track outstanding billing requests and issues, communicate status updates, and escalate unresolved or time-sensitive matters to the appropriate leadership.
Assist with direct billing to state, local, or other governmental agencies when billing is required to be completed by BHS rather than the third-party billing company.
Prepare, submit, and maintain supporting documentation for agency billing, invoices, claims, or reimbursement requests in accordance with applicable requirements and timelines.
Review billing and accounts receivable information for completeness and accuracy and assist with researching discrepancies, denials, rejections, payment variances, or missing information.
Support billing audits, payer or agency reviews, and requests for documentation by coordinating records and information with the appropriate internal teams.
Assist with maintenance of billing-related information within BHS systems, including fee schedules, charge rates, worklists, holds, and other billing configurations as assigned.
Support reconciliation and reporting activities related to billing, payments, accounts receivable, and other revenue cycle data as requested.
Maintain organized records of billing correspondence, submissions, agency requirements, outstanding items, and resolutions.
Handle confidential and protected health information in accordance with HIPAA, company policy, and all applicable laws and regulations.
Adhere to all applicable company policies, procedures, compliance requirements, audit activities, and reporting standards.
Perform additional duties and assignments as directed by the supervisor.
What We’re Looking For
Minimum of 5 years of healthcare billing, revenue cycle, accounts receivable, or related experience preferred.
Experience working with third-party billing vendors, governmental agencies, or complex billing arrangements preferred.
Certification in Medical Billing and Coding preferred but not required.
Working knowledge of healthcare billing, accounts receivable, payer requirements, and basic medical terminology.
Ability to review billing data, reconcile information, identify discrepancies, and coordinate resolution with internal and external stakeholders.
Proficiency in Microsoft Office, particularly Excel, and experience working with EHR and/or billing systems.
Strong communication, organization, follow-up, and problem-solving skills.
Why Join Us
Be part of a mission-driven healthcare organization making a meaningful impact
Work in a collaborative, fast-paced environment with room to grow
Benefits:
Competitive Earnings
Hands-on Training and Supervision
Work-Life Balance
PTO and Paid Holidays
A comprehensive benefits package (Medical, Dental, Vision, Life, and more)
401k with company match
Numbers & Facts
Location
Henderson, NV
Skills
Accounts Receivableunmatched
Alliance/Partner Marketingunmatched
Behavioral Healthunmatched
Billingunmatched
Billing Recordsunmatched
Communication Skillsunmatched
Corporate Policiesunmatched
Detail Orientedunmatched
Documentationunmatched
Fee Scheduleunmatched
Government Billingunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Healthcareunmatched
Information Technology & Information Systemsunmatched
Information/Data Security (InfoSec)unmatched
Leadershipunmatched
Mail Processingunmatched
Medical Billingunmatched
Medical Codingunmatched
Medical Record Systemunmatched
Medical Terminologyunmatched
Microsoft Excelunmatched
Microsoft Officeunmatched
Organizational Skillsunmatched
Problem Solving Skillsunmatched
Reconciliationunmatched
Record Keepingunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Reimbursementunmatched
Team Playerunmatched
Time Managementunmatched
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