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.

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