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