Revenue Cycle Specialist

Overview

As a Revenue Cycle Specialist
, you will be responsible for efficient billing and collection of payment for SAFY’s services. Specifically, this position will bill for behavioral health services to state Medicaid, Managed Care Organizations, and Commercial Insurance. In addition, this position will bill and collect for states, counties, and agencies for SAFY’s per diem-based and other services.

At SAFY, our mission is Preserving Families & Securing Futures. For 40 years, our work has rested on a single, radical idea – children belong in families. We believe that every child and family deserves the opportunity to reach their full potential. We are a team of 500 employees across seven states providing services such as Family Preservation & Reunification, Behavioral Health, Therapeutic Foster Care, Adoption Services and Older Youth Services so the families and children we serve can build resilience and thrive.

Payor Administration:

• Develop relationships with governmental bodies, managed care organizations and other business partners as needed to ensure timely payment for SAFY’s services.
• Monitor industry and regulatory trends, develop and communicate plans to manage the impact of future health care / behavioral health reform.

Billing:

• Lead operations of benefit eligibility, authorization management, claims processing, payment posting, accounts receivable collections, and refunds for a given segment of SAFY’s business. Maintain working knowledge of requirements of assigned contracts and assure required documentation is provided in the format required for individual contracts.
• Responsible for the collection of the dollar amount of all invoices for assigned divisions and the accurate posting of payments according to EOB received.
• Establish contact with agency representative regarding any invoices which become 40 or more days past due and determine means of collection.
• Manage payer data to determine denial and underpayment trends and provide corrective actions to improve performance.
• Manage and resubmit denied claims in a timely fashion to ensure maximum payment to SAFY. Assist in month end close and reporting responsibilities.
• Maintain a rolling 4-week projection of cash collections.
• Monitor compliance with all third-party payor regulations, exception handling, appeals and denials.

• Assist in external financial statement audits, insurance audits/inquiries, and internal compliance requests.
• Ensure basic accounting principles are followed and periodically review and assess industry standards.

• Bachelor s degree in business or health care administration
• Certified Professional Coder preferred
• Five plus years of experience in a healthcare billing position (without BA degree)

• Resolution skills to demonstrate effective problem solving
• Operate a computer with Microsoft Office, financial programs, reporting tools, agency databases and online systems
• Possess excellent financial, analytical, and statistical skills
• Strong attention to detail/organization skills and ability to multi-task.
• Excellent communication and customer service skills, both oral and written.
• Ability to maintain a high level of confidentiality and sensitivity of information and exercise good judgment and discretion in handling and disseminating information.

• Targeted hiring range: $45,000.00 - $55,000.00
• Compensation is commensurate with transferable experience, education and licensure of candidate, location of the position, along with internal equity and budgeted amount for the role.
• Comprehensive benefit plan options including Medical, Dental, Vision, Disability, Life Insurance, Flexible Spending and Health Savings account options to meet your needs
• 401(k) Retirement plan with company match
• 10 paid holidays per year + 3 floating holidays, generous sick & vacation time and an additional day off for your birthday
• All regular full and part time staff are eligible for quarterly and/or annual bonuses
• Tuition Reimbursement up to $5,000 each year
• CEU Reimbursement up to $1,000 each year
• On demand access to earned wages through Zayzoom
• Gain leadership skills, develop your clinical expertise, or…