Revenue Cycle Specialist

SAFY•Delphos, OH

35d•$45,000 - $55,000

About The Position

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. Who We Are 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.

Requirements

Bachelor's degree in business or health care administration
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.

Nice To Haves

Certified Professional Coder preferred

Responsibilities

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.
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

Benefits

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 earn CEUs with access to over 1,000 courses on our learning platform or through our talented in-house training department
Clinical Supervision Reimbursement up to $300 per month
Employee Assistance Program with 6 free visits per year
First Stop Health – A virtual Healthcare benefit
Free Financial Advisor Services
Support Services for alternative Health Insurance and benefit credit reimbursement options
Employee and Foster Parent Referral bonus program
Leave donation program
Adoption Assistance
Mileage reimbursement
Your choice of company paid cell phone or phone stipend