Revenue Cycle Billing & Reimbursement Specialist

NECCO (ED Necco & Associates Inc.); Cincinnati, Northern (OH, KY); Hybrid; USD 55,000 - 70,000; Full time

Job summary

NECCO (ED Necco & Associates Inc.) in Cincinnati, OH seeks a Revenue Cycle Billing Specialist to manage the end-to-end billing and reimbursement lifecycle, ensure accurate claim submission, timely reimbursement, and effective denial resolution.

You will collaborate with internal teams, maintain proper documentation, and uphold HIPAA and regulatory compliance while improving processes and accuracy across the revenue cycle.

Qualifications

• High school diploma or GED required; degree or certificate in Medical Billing, Coding, Healthcare Administration, Business Administration, or a related field preferred
• Minimum of three (3) years of healthcare billing, accounts receivable, payment posting, denial management, or revenue cycle experience
• Experience with EHR and clearinghouse software; experience utilizing payer portals and electronic remittance systems preferred
• Proficiency with Microsoft Office Suite and the ability to work accurately with complex electronic records, reports, and data sets
• Experience with Medicaid, Managed Care Organizations (MCOs), governmental billing, or other payer requirements preferred
• Strong communication and customer service skills, with the ability to work collaboratively with internal and external stakeholders
• Ability to manage multiple priorities and deadlines while remaining self-directed, resourceful, detail-oriented, and adaptable
• Experience working in behavioral health, social services, foster care, or community-based healthcare settings preferred
• Successful completion of all required criminal background checks and willingness to complete required travel and training
• Valid driver's license and state minimum auto insurance coverage

Responsibilities

• Generate claims for per diem and fee-for-service billing using the EHR system and submit invoices to payers
• Review and act on submitted claims within established timeframes to ensure timely reimbursement
• Monitor, investigate, and resolve held, rejected, denied, underpaid, or unpaid claims using EHR, clearinghouse, and payer portals
• Submit corrected claims, reconsiderations, and appeals as appropriate
• Post insurance payments, denials, contractual adjustments, refunds, and other payment transactions in the EHR system
• Review ERA/EOB documentation for accurate posting and resolve posting discrepancies
• Maintain documentation related to billing activities and outcomes
• Identify reimbursement trends and escalate concerns to Revenue Cycle leadership
• Foster strong relationships with internal teams and payers to resolve discrepancies

Skills

Healthcare billing

Accounts receivable

Payment posting

Denial management

Regulatory compliance

Communication skills

Attention to detail

Education

High school diploma or GED

Bachelor's degree (preferred)

Tools

EHR software

Clearinghouse systems

Payer portals

Electronic remittance systems

Job description

NECCO (ED Necco & Associates Inc.) in Cincinnati, OH seeks a Revenue Cycle Billing Specialist to manage the end-to-end billing and reimbursement lifecycle, ensure accurate claim submission, timely reimbursement, and effective denial resolution.

You will collaborate with internal teams, maintain proper documentation, and uphold HIPAA and regulatory compliance while improving processes and accuracy across the revenue cycle.