Revenue Cycle Specialist - Remote

Who We Are

Since 1986, our non-profit organization has been committed to providing rural communities in Wyoming and Idaho with affordable access to life-changing behavioral services. Our team of licensed professionals are devoted to the application of therapeutic methods that enhance the lives and well-being of our clientele through counseling, case management, medication management and crisis services.

It is our Mission to effectively listen, guide, and teach those who are at a crossroad in their lives how to build healthy relationships, regulate emotions, and manage stress in order to reduce suffering and reach their potential for happiness and well-being.

Position Overview

High Country Behavioral Health is integrating its behavioral health services with primary care to provide a team-based approach to deliver individuals with a better overall health outcome. Under the direction of the Operations Manager, the Revenue Cycle Specialist will assist in the establishment of a thriving practice and oversee all revenue cycle aspects across multiple locations throughout Idaho and Wyoming.

Essential Duties and Responsibilities

• Performs extensive follow-up to investigate and resolve payment denial trends.
• Assists with the development and implementation of strategies and procedures that will reduce denials, maximize reimbursements, and promote faster payment.
• Utilizes the practice management system to sort, filter, summarize and identify various account receivable trends to solicit payments from insurance companies and patients.
• Prepares letters of appeal to insurance carriers for claims that were not paid or paid at the incorrect rate.
• Resolves claim edits within the practice management billing system to ensure successful claim submission.
• Assists in establishing and renewal for credentialing of service providers.
• Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors.
• Reviews and submits refund and write-off requests; approves and performs write-offs as requested and as necessary.
• Performs other related duties as assigned.

Candidate Qualifications and Experience

• High School Diploma or Equivalent.
• Approximately 3-5 years of medical billing, specifically accounts receivable experience.
• Knowledge of third party reimbursements.
• Knowledge of medical terminology; prior experience working with an EMR System.
• Knowledge of state and federal regulations, policies, and procedures governing accounting, medical billing, and financial recordkeeping.
• Knowledge of general accounting principles and ability to produce, read and analyze financial reports.
• Proficient in Microsoft Office Products; knowledge and ability to operate various office equipment
• Ability to maintain confidentiality, professionalism, and customer service in all interactions
• Successful completion of HCBH pre-employment screening and background check.
• Has the ability to communicate effectively orally and in writing.
• Billing and coding related certifications preferred.

Benefits

• Competitive Salary
• Medical, Dental, Vision, and Supplemental Insurance
• Paid Holidays
• Generous PTO Package
• Employer Retirement Contribution Plan

While performing the duties of this job, the employee is required to walk, stand, sit, and use the hands. Occasionally stoop, crouch, or kneel. The employee must occasionally exert or lift up to 25 pounds.

High Country Behavioral Health is proud to be an equal opportunity employer. We are committed to cultivating an environment where equal employment opportunities are available to all employees and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability, or genetic information, in compliance with applicable federal, state, and local law. High Country Behavioral Health celebrates diversity and believes it is critical to our success. As such, we are committed to recruit, develop, and retain the most talented individuals to join our team.