Job

Home > Job

Revenue Cycle Specialist

Location Chicago, IL 60651
Date Posted December 03, 2024
Job ID 12284
Employment Type Direct Hire
Scion Staffing has been engaged to conduct a search for a Revenue Cycle Specialist on behalf of our client, an established behavioral health organization in Chicago, IL. This is a direct-hire, on-site position available for immediate hire!

Responsibilities:
  • Oversees and manages entire revenue cycle including billing, coding, collections, and denial management to DHS SUPR, Medicaid, MCO and Commercial insurance.
  • Maintains relationships with external vendors for practice management software and clearinghouse vendor.
  • Communicates professionally with various payers and provider representatives.
  • Manages and maintains billing and practice management software platform.
  • Updates reimbursement rates for all payers within the EHR.
  • Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies.
  • Reconciles all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
  • Manages and updates the EHR support staff on the current CMS/HFS fee schedule and negotiated contracts.
  • Conducts monthly analysis of Medicare/Medicaid/Third Party Payers.
  • Generates and manages revenue reports.
  • Reviews and resolves issues related to claim generation and rejected/denied billings.
  • Commits to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information.
  • Stays update-to-date on all reimbursement billing procedures of third party and private insurance payers and government regulations.
  • Maintains appropriate internal controls over accounts receivable, RCM process.
  • Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers.
  • Reviews, monitors, and evaluates third party reimbursement and researches variances.
  • Performs other duties as assigned.

Qualifications:
  • Bachelor’s degree or relevant professional experience.
  • Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process.
  • Proven experience in healthcare billing, Medicare, Medicaid, MCO, Commercial Insurance. DHS SUPR knowledge highly preferred.
  • Knowledge of basic insurance policies, authorizations, procedures, and reimbursement practices with and coding.
  • Experience with credentialing/re-credentialing of Facilities, preferred.
  • Prior experience with process development and execution.
  • Excellent communication and interpersonal skills.
  • Expert in Microsoft Excel and Word.
  • Bilingual is a plus.

Compensation: 
This position offers an annual salary between $70,000-$75,000, along with a comprehensive benefits package that includes medical, dental, and vision coverage; life insurance; short- and long-term disability; FSA and HSA options; and generous paid time off (PTO).

How to Apply: 
For immediate consideration, please submit your resume and share more about your professional experience!

About Our Search Firm:
Scion Staffing is a national award-winning staffing firm! Since 2006, we have had the pleasure of successfully placing thousands of talented professionals with amazing career opportunities. Through our innovative team building and recruiting solutions, we bridge the gap in executive leadership searches, direct hire recruiting, interim leadership placement and temporary professional staffing. Our track record and recruitment process has made us one of the top recruitment firms in the nation.

We are proud to be part of the Forbes list of the Best Recruitment Firms and the Best Executive Search Firms in America. Additionally, Scion has been recognized as a Clearly Rated Best of Staffing firm as well as a top recruitment firm by The Business Times. Additional information about us can also be found atwww.scionstaffing.com. Scion Staffing, Inc. is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation or belief, or any other protected class. We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent.

For opportunities located in a region that has enacted fair chance, arrest, or conviction-based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records. We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.

This job has now been filled, visit our search page for more jobs like this.