Senior RCM Billing Specialist

Posted 3 Days Ago
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Henderson, NV, USA
In-Office
Senior level
Healthtech • Telehealth
The Role
Coordinates revenue cycle billing activities between the healthcare organization and its third-party billing partner. Responsibilities include managing billing requests, supporting governmental agency billing, preparing documentation, reviewing accounts receivable data, researching discrepancies and denials, maintaining billing configurations, supporting audits and reconciliations, and protecting HIPAA information. The role requires strong healthcare billing knowledge, organizational skills, follow-up, communication, and proficiency with Excel, EHR, and billing systems.
Summary Generated by Built In

Location: On-Site, Henderson, NV
Employment Type: Full-Time, W2

About the Role

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

 

Skills Required

  • Minimum of 5 years of healthcare billing, revenue cycle, accounts receivable, or related experience
  • Experience working with third-party billing vendors, governmental agencies, or complex billing arrangements
  • Certification in Medical Billing and Coding
  • Working knowledge of healthcare billing, accounts receivable, payer requirements, and basic medical terminology
  • Ability to review billing data, reconcile information, identify discrepancies, and coordinate resolutions
  • Proficiency in Microsoft Office, particularly Excel, and experience with EHR or billing systems
  • Strong communication, organization, follow-up, and problem-solving skills
Am I A Good Fit?
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The Company
222 Employees
Year Founded: 2017

What We Do

Behavioral Health Solutions (BHS) is a Nevada-based behavioral healthcare organization serving post-acute care and senior-living communities. It designs and administers behavioral health programs and provides on-site and telehealth psychiatric care, therapy, medication management, and non-pharmacological interventions, primarily for residents of skilled nursing and long-term care facilities. BHS also works with policymakers to improve outcomes, regulatory alignment, and sustainable behavioral-health funding.

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