Revenue Cycle Insurance Billing Specialist (Must reside in IL, WI or IA)

Rosecrance Health Network; Rockford (IL); Remote; USD 10,000 - 60,000; Full time

Job summary

Rosecrance Health Network is seeking a Revenue Cycle Insurance Billing Specialist to manage claims and enhance payment accuracy. This full-time position, suitable for residents in IL, WI, or IA, requires excellent communication and organizational skills, combined with experience in the healthcare industry. Join a dedicated team committed to improving the lives of individuals through effective behavioral health services.

Benefits

Medical, dental, and vision insurance

401(k) with employer match

Tuition assistance

Paid Time Off

Referral program earning up to $1,000 per hire

Wellness program

Qualifications

• Prior experience in healthcare environment with knowledge of claims processing.
• Excellent organizational skills and ability to manage time effectively.
• Proficient in advanced Excel skills including graphing and calculations.

Responsibilities

• Manage aged accounts receivable, claim issues, denials, and payment accuracy.
• Function as the liaison between MCO reps and revenue cycle staff.
• Provide monthly standard reports and complete various reports for audits.

Skills

Excellent oral and written communication skills

Ability to analyze and trend data

Excellent organizational skills

Ability to work independently

Education

High School diploma or GED

Bachelor’s degree (preferred)

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Job description

Revenue Cycle Insurance Billing Specialist (Must reside in IL, WI or IA)

Job Category: Clerical

Requisition Number: REVEN010288

Apply now

• Posted : March 24, 2025
• Full-Time
• Remote
• Rate : $20.29 USD per hour

Locations

Showing 1 location

Rosecrance Mulford Office
Rockford, IL 61107, USA

Description

Become a champion of hope.

At Rosecrance, we’ve been leading the way in behavioral health services for over a century. Our team empowers individuals and families to overcome substance use and mental health challenges through compassionate care and evidence-based therapies. If you’re ready to make a meaningful impact, we’re ready to welcome you! We are looking for dedicated individuals to join our team and help deliver on our mission of hope and recovery.

Position Purpose:

The Revenue Cycle Reporting Specialist will provide management and reporting on the public fee for service revenue. This position will be the liaison between the representatives from payers and the revenue cycle team. This position will focus on claim resolution, trends and accuracy of payments and work directly with team members and will assign them claim projects. The position will also be responsible for monthly and ad hoc reporting related to accounts receivable and revenue, along with providing reports for financial audits.

Qualifications:

• High School diploma or GED required, or bachelor’s degree preferred.
• Prior experience in healthcare environment with knowledge of claims processing, denial management, healthcare collections.
• Excellent oral and written communication skills required.
• Ability to accurately complete required documentation withing the times prescribed.
• Excellent organizational skills.
• Ability to work independently, manage time effectively and able to prioritize tasks.
• Proficient in the use of Microsoft Word, Excel, and PowerPoint. Advanced Excel skills including the ability to produce graphs, charts, and tables, use spreadsheets efficiently and perform calculations and automation to process large volumes of data.
• Ability to analyze and trend data.

Responsibilities:

1. Manage State and Managed Medicaid aged accounts receivable, claim issues, denials, and payment accuracy.
2. Function as the liaison between MCO reps and revenue cycle staff.
3. Establish contacts and relationships with provider representatives for each public payer.
4. Communicate directly with provider reps on a regular basis and ensure identified issues are addressed.
5. Establish routine meetings with provider reps and revenue cycle staff.
6. Manage claim issues logs by payer along with managing all outstanding claim projects, resolution, and fallout from finalizations of projects.
7. Review payments to identify accuracy, underpayments, and trends.
8. Development, monitoring and follow up of metrics within the revenue cycle.
9. Analyze denial reasons to identify root causes.
10. Maintain public reimbursement matrix by payer, NPI and effective dates.11. Analyze rate increases and the impact of revenue by program.
12. Attending all public provider rep meetings, State meetings for both Illinois and Iowa, and providing summary to revenue cycle leadership.
13. Provide support in process improvement initiatives.
14. Complete monthly standard reports
15. Complete various reports for annual fiscal year audit.
16. Be a secondary review of charge mapping

Schedule: 8-hour shifts

• Shift: Monday-Friday 8:30aa-5:00pm (40 hours per week)
• Remote schedule available after training period

Compensation

• Starting Pay (based on education, experience, and credentials)
  • $20.29 per hour

Work Location:

• Remote after training (must live in WI, IL, or IA)

Rosecrance values its employees and offers a comprehensive benefits package for you and your family:

• Medical, dental, and vision insurance (multiple plan options to meet your needs)
• 401(k) with employer match & discretionary contribution
• Group Life Insurance, LTD and AD&D
• Tuition assistance & licensure/certification reimbursement
• Paid Time Off, sick time, bereavement leave
• Referral program earning up to $1,000 per hire!
• Wellness program, including an on-site gym at select facilities
• Discounts at participating retailers
• Daily pay available through UKG Wallet for financial flexibility

Who We Are

Rosecrance has been at the forefront of providing behavioral health services for over a century. Our mission is to empower individuals and families to overcome substance abuse and mental health challenges through evidence-based therapies and compassionate care. Join us in our mission to foster lasting recovery and transform lives.

We are committed to providing careers that make a difference in the lives of the people we serve and the people we employ. We do this through the work we do, our core mission and values, our employee resources, and especially through our purpose-driven community of opportunity and hope.

Our Health and Safety Commitment

We maintain a zero-tolerance drug-free environment, including marijuana, to prioritize safety for staff and clients. All candidates must pass an occupational health screening, ensuring a secure and healthy workplace.

Rosecrance is an equal opportunity employer and values diversity in the workplace. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, marital status, veteran status, or any other legally protected status. Our hiring decisions are based solely on qualifications, skills, and experience relevant to the requirements of the position.

Our Partnerships

• AARP Employer Pledge Program
• MSEP (Military Spouse Employment Partnership).

Ready to Make a Difference?
Apply today and be part of something bigger! Your role at Rosecrance will help transform lives—starting with your own.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.