The Revenue Specialist to provide oversight and management of all facets of the billing department including intake and insurance management, claims processing, and revenue monitoring within the Electronic Health Records (EHR) Practice Management Systems (PMS) and legacy system platforms. Note: Remote position approved for states Kansas, Texas, Arkansas, Nebraska or Mississippi.

Performs overall revenue management including satisfying timely filing requirements and maximizing billing revenue and collections, and resolution of denied/rejected claims.
Monitors reports to ensure clean claims submissions.
Monitors monthly aging reports and conduct follow-up on unpaid claims and take appropriate action to correct and rebill for reimbursement.
Identifies, researches, and resolves system issues through direct contact with payors and software vendors.
Provides technical expertise to ensure accurate billing including billing for new services and staying informed of regulatory, compliance, and best practices of our programs.
Assists with developing, implementing, and maintaining revenue cycle standard operating procedures (SOPs).
Performs regular audits of daily billing reports to identify coding and billing errors. Work with Program Clerks and Revenue Specialists and other staff to address; notify collaborating department management of problems and troubleshoot as needed.
Monitors A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment.
Collaborates with Director of Revenue Operations to provide monthly updates of revenue cycle status including reports, metrics, and presentations as needed.
Works closely with the EHR Administrator and Practice Management vendor to identify and work to resolve systemic issues.
Provides training as required to staff regarding insurance, billing and other revenue cycle related tasks, and standard operating procedures (SOPs).
Collaborates with the Director of Revenue Operations and other management staff to develop continuous process and priorities for quality improvement to improve revenue cycle outcomes.
Performs special projects and other duties as requested.

Requirements: [p][/p]

Associate degree or equivalent experience in lieu of degree.
Minimum of five years related experience in billing in a healthcare setting, behavioral health preferred.
Prefer some experience as a department manager.
Must be 21 years of age.
Must have a valid Driver’s License.
Must pass a drug screen, MVR, and Child Abuse and Neglect Central Registry clearance check.
Lifting Requirements of 30-50 lbs.

Saint Francis Ministries

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Revenue Operations Manager- Behavioral Health