Revenue Cycle Specialist

Seven Counties Services•Louisville, KY

1d•Remote

About The Position

This position is remote, and only candidates who reside in the Louisville Metro area will be considered. The Revenue Cycle Specialist provides support for billing and system use, workflows, and procedures. They assist with new hire orientation applicable to the department, ensuring assigned staff are properly trained. The role involves performing specific aspects of training, participating in meetings with RC Leadership regarding the A/R work plan, and performing daily functions such as Mapping, Eligibility, Cash Log, EIB functions, Case Management, and Contract Therapy. Additionally, the specialist handles weekly deposit functions, system builds within Avatar for new programs and service-codes, and processes rate- and service-code changes. They are responsible for A/R reporting and analysis, participating in month-end close, and conducting charge reconciliation. This role serves as a key resource to the Accounts Receivable team, Business Director, and Business Administrative Managers, assisting in tracking and communicating revenue-cycle issues and resolutions. Collaboration with other departments to improve processes and operations, and assisting in developing and maintaining revenue-cycle standard operating procedures are also key functions. The position requires adherence to all SCS policies and procedures and completion of mandatory training.

Requirements

High school diploma or equivalent is required.
Four-to-six years’ revenue-cycle experience in complex health care environment, preferably within comparable behavioral health or health and human services organization.
Experience with CMHC and/or NetSmart or Lawson preferred.
Experience with systems and systems conversion preferred.
Proven billing and accounting knowledge.
Management reporting and analysis.
Ability to collaborate across diverse functional work groups.
Proven experience driving/implementing process improvement initiatives.
Excellent internal and external customer service skills.
Strong process and quality orientation.
Strong project management skills.
Must possess good oral and written communication skills and recognize importance of teamwork.
Proficiency in Microsoft Office with advanced Excel skills.
Working knowledge of Microsoft SharePoint.

Responsibilities

Provides support for billing and system use, workflows and procedures, as applicable.
Assists with new hire orientation applicable to the department while ensuring assigned staff are properly trained to perform their job functions.
Performs specific aspects of training personally while other aspects may be performed by appropriate staff members.
Participates in meetings with RC Leadership and direct reports regarding status of the A/R work plan and compliance with daily expectations per policy as directed.
Performs daily functions such as Mapping, Eligibility, Cash Log, EIB functions, Case Management and Contract Therapy.
Performs weekly deposit functions for the organization.
Provides system builds within Avatar for new programs and service-codes.
Processes rate- and service-code changes, if applicable.
Performs A/R reporting and analysis.
Participates in month-end close.
Conducts charge reconciliation to ensure billing for all services provided, if applicable.
Serves as key resource to Accounts Receivable team, Business Director, and Business Administrative Managers.
Assists in tracking and communicating revenue-cycle issues and resolution to affected parties.
Collaborate with other departments to improve processes/operations, implement changes, and improve revenue workflow.
Assists in developing, implementing, and maintaining revenue-cycle standard operating procedures.
Follows all SCS policies and procedures.
Completes all mandatory training within prescribed timeframes.