Revenue Cycle Billing Specialist

Behavioral Health Solutions (BHS) is a team of mental health professionals specializing in comprehensive behavioral health services, including Skilled Nursing Facilities (SNF), Outpatient services, and Telehealth.

As a leading provider in the mental health field, we are seeking skilled professionals who exhibit the highest level of integrity and dedication to improving patient care.

Position Summary:

The Revenue Cycle Billing Specialist is responsible for maintaining accounts receivable within the healthcare billing department. This role ensures accurate and timely billing, processes insurance claims, follows up on unpaid accounts, and resolves discrepancies to support the organization’s financial health.

This is an On-Site role, located at our headquarters in Henderson, NV. Remote candidates will not be considered.

Key Responsibilities:

• Process and submit insurance claims for payment, including Medicare, Medicaid, HMO, and private payers.
• Respond to payer inquiries regarding billing and account status in a professional and courteous manner.
• Monitor and follow up on unpaid claims and outstanding patient balances, ensuring timely resolution.
• Investigate and resolve denied or disputed claims, including initiating appeals and communicating with payers as needed.
• Maintain EHR requirements as it relates to billing, custom holds, and worklists.
• Investigate and resolve denied or disputed claims, including initiating appeals and communicating with payers as needed.
• Reconcile account discrepancies and maintain accurate billing records.
• Collaborate with operational and billing teams to address workflow, coding, and payment issues.
• Track and collect payments, including setting up payment plans for outstanding bills.
• Stay current with industry trends, payer requirements, and regulatory changes impacting billing and AR.
• Handle confidential information and abide by HIPAA laws and other medical policies.
• Ensure compliance with all state, federal, local, and applicable state board requirements, provisions, and laws pertaining to nursing practices.
• Adhere to all applicable company policies, practices, and procedures to maintain compliance with organizational standards.
• Adhere to mandatory reporting standards, and company compliance requirements including but not limited to actively participate in investigations, audits, and monitoring activities as required.
• Performing additional tasks, duties, and assignments as specified by your supervisor.

Required Skills:

• A clear understanding of the Medical Billing, particularly for mental health services.
• Familiarity with CPT codes for psychiatric services and ICD-10 codes for mental health diagnoses.
• Understanding of mental health insurance policies and reimbursement practices.
• Excellent attention to detail and strong analytical skills.
• Ability to communicate effectively with healthcare providers, patients, and insurance representatives.
• Strong organizational skills and the ability to manage multiple tasks simultaneously in a fast-paced environment.

Qualifications:

• High school diploma or GED; additional education or certification in medical billing/denials management preferred.
• Minimum of 1-2 years of experience in claims processing, billing, or denial management in a healthcare setting.
• Proficiency in EHR/EMR systems, including AthenaOne.
• Strong interpersonal and communication skills, both written and verbal.
• Ability to maintain confidentiality of sensitive information.
• Proficiency in Microsoft Office applications such as Outlook, Word, and Excel.

Job Type:

• Full-time, Monday through Friday
• In-Office (Henderson, Nevada)

Benefits:

• $20 - $23/hr.
• Hands-on and virtual training.
• Work-life balance, including PTO and paid holidays.
• Comprehensive benefits package (Medical, Dental, Vision, Life, etc.)
• 401k with company match