Revenue Cycle Specialist

Talentify; Gardena (CA); On-site; USD 34,000 - 41,000; Full time

Job summary

Talentify in Gardena, CA is seeking a Billing Analyst to research and follow up on billing denials, Helds, and other irregularities in a behavioral health setting.

You will analyze the revenue cycle, collaborate with departments, and support audits of accounts receivable; experience with EHR systems and HIPAA is preferred.

This full-time, day-shift role offers steady work and opportunities to optimize billing processes within a collaborative team.

Qualifications

• Bachelor's degree required or equivalent experience.
• 3+ years revenue cycle management in healthcare, preferably behavioral health.
• Experience with healthcare insurance claims processing and payer requirements.
• Familiarity with EHR systems and billing software.

Responsibilities

• Analyze and improve revenue cycle processes and system enhancements.
• Ensure compliance with HIPAA, CMS, and contractual requirements.
• Identify and address challenges in revenue cycle and AR write-offs.
• Perform trend analysis on payer denials and audits.
• Collaborate with other departments for cash reconciliation and receivables validation.
• Review contracted rates and reimbursements.
• Develop reports for management on AR trends and issues.
• Work across multiple EHR systems.

Skills

Revenue cycle management

Analytical skills

Communication skills

Microsoft Excel

Independent & team work

HIPAA knowledge

Education

Bachelor's degree in Healthcare Administration, Business, Finance, or related field

Tools

EHR systems

Healthcare billing software

Job description

Gardena, CA 90249

Overview

Salary Range:

$25.00 - $30.00 Hourly

Position Type:

Full Time

Job Shift:

Day

Education Level:

4 Year Degree

Category:

Accounting

Description

Job Summary:

Research and follow up on billing and payment Denials, Helds and other irregularities in a Behavioral Health Setting

Duties/Responsibilities:

• Ongoing process improvement analysis: and implementation of system improvements. Includes all activities within the scope of the Billing & Accounting Departments including charge/ data entry, insurance follow up, and billing and collection of client balances.
• Adheres to Billing and Accounting regulations, company policy, HIPPA, 42CFR, CMS, DHCS, DPH/SAPC, DMH guidelines and statutes and contract requirements.
• Assist in identifying, analyzing and addressing challenges and / or breakdowns in the revenue cycle process.
• Perform ongoing trend analysis of payer rejections and denials. Assist in performing proactive audits on all recommended A/R write offs.
• Collaborate closely with other departments to contribute to cash reconciliation activities and to assist in the assessment of accounts receivable collectability and validation, including the writing off of bad debts.
• Assist with the review of contracted rates and reimbursements.
• Assist in the creation and development of reports to address management needs; analyze information to identify trends or issues.
• Work in multiple EHR systems

Qualifications

Required Education:

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field. Equivalent experience may be considered in lieu of a degree.

Required Experience:

• Minimum of 3 years of experience in revenue cycle management within a healthcare setting, preferably in behavioral health services.
• Proven track record in managing billing, collections, and accounts receivable processes.
• Experience with healthcare insurance claims processing and knowledge of payer requirements.
• Familiarity with electronic health records (EHR) systems and healthcare billing software.

Required Skills and Abilities:

• Strong analytical skills with the ability to interpret financial data and generate actionable insights.
• Excellent communication skills, both written and verbal, with the ability to interact effectively with internal teams and external stakeholders.
• Detail-oriented with strong organizational skills to manage multiple tasks and priorities efficiently.
• Proficiency in Microsoft Office Suite, particularly Excel, for data analysis and reporting.
• Ability to work independently as well as collaboratively in a team-oriented environment.
• Knowledge of healthcare regulations and compliance standards, including HIPAA.
• Problem-solving skills with a proactive approach to identifying and resolving issues in the revenue cycle process.