Senior RCM Billing Specialist

Gilder Search Group; Henderson (NV); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with company match

PTO and paid holidays

Work-life balance

Hands-on training and supervision

Job summary

Behavioral Health Solutions is seeking a highly organized Senior RCM Billing Specialist to support our multi-state healthcare organization. This role serves as the primary liaison between BHS and its third-party billing partner, coordinating billing activities and ensuring timely revenue cycle processes.

You will work on-site in Henderson, NV, collaborating with internal teams to obtain information, resolve discrepancies, and support government and agency billing as required.

Qualifications

• Minimum of 5 years of healthcare billing, revenue cycle, accounts receivable, or related experience preferred.
• Experience with third-party billing vendors, governmental agencies, or complex billing arrangements preferred.
• Medical Billing and Coding certification preferred but not required.
• Knowledge of healthcare billing, accounts receivable, payer requirements, and basic medical terminology.
• Ability to review billing data, reconcile information, identify discrepancies, and coordinate resolution with internal and external stakeholders.
• Proficiency in Microsoft Office, particularly Excel, and experience with EHR and/or billing systems.
• Strong communication, organization, follow-up, and problem-solving skills.

Responsibilities

• Serve as the primary day-to-day liaison between BHS and the third-party billing company, coordinating questions, requests, issue resolution, and follow-up.
• Coordinate internal support needed by the third-party billing company, including obtaining information, documentation, approvals, corrections, or clarification from appropriate BHS departments.
• Track outstanding billing requests and issues, communicate status updates, and escalate unresolved or time-sensitive matters to the appropriate leadership.
• Assist with direct billing to state, local, or other governmental agencies when billing is required to be completed by BHS rather than the third-party billing company.
• Prepare, submit, and maintain supporting documentation for agency billing, invoices, claims, or reimbursement requests in accordance with applicable requirements and timelines.
• Review billing and accounts receivable information for completeness and accuracy and assist with researching discrepancies, denials, rejections, payment variances, or missing information.
• Support billing audits, payer or agency reviews, and requests for documentation by coordinating records and information with the appropriate internal teams.
• Assist with maintenance of billing-related information within BHS systems, including fee schedules, charge rates, worklists, holds, and other billing configurations as assigned.
• Support reconciliation and reporting activities related to billing, payments, accounts receivable, and other revenue cycle data as requested.
• Maintain organized records of billing correspondence, submissions, agency requirements, outstanding items, and resolutions.
• Handle confidential and protected health information in accordance with HIPAA, company policy, and all applicable laws and regulations.
• Adhere to all applicable company policies, procedures, compliance requirements, audit activities, and reporting standards.
• Perform additional duties and assignments as directed by the supervisor.

Skills

Healthcare billing

Communication

Organization

Problem-solving

Excel

Tools

Microsoft Excel

EHR systems

Billing systems

Job description

Location: On-Site, Henderson, NV
Employment Type: Full-Time, W2

About the Role

Behavioral Health Solutions is seeking a highly organized, detail-oriented Senior RCM Billing Specialistto support our growing, multi-state healthcare organization. This role serves as the primary internal point of coordination between Behavioral Health Solutions (BHS) and its third-party billing partner.This role supports accurate and timely revenue cycle processes by facilitating communication, coordinating internal follow-up and documentation needs, and assisting with billing activities that remain the responsibility of BHS, including direct billing to certain state, local, or other governmental agencies as required.

What You’ll Do

• Serve as the primary day-to-day liaison between BHS and the third-party billing company, coordinating questions, requests, issue resolution, and follow-up.
• Coordinate internal support needed by the third-party billing company, including obtaining information, documentation, approvals, corrections, or clarification from appropriate BHS departments.
• Track outstanding billing requests and issues, communicate status updates, and **escalate** unresolved or time-sensitive matters to the appropriate leadership.
• Assist with direct billing to state, local, or other governmental agencies when billing is required to be completed by BHS rather than the third-party billing company.
• Prepare, submit, and maintain supporting documentation for agency billing, invoices, claims, or reimbursement requests in accordance with applicable requirements and timelines.
• Review billing and accounts receivable information for completeness and accuracy and assist with researching discrepancies, denials, rejections, payment variances, or missing information.
• Support billing audits, payer or agency reviews, and requests for documentation by coordinating records and information with the appropriate internal teams.
• Assist with maintenance of billing-related information within BHS systems, including fee schedules, charge rates, worklists, holds, and other billing configurations as assigned.
• Support reconciliation and reporting activities related to billing, payments, accounts receivable, and other revenue cycle data as requested.
• Maintain organized records of billing correspondence, submissions, agency requirements, outstanding items, and resolutions.
• Handle confidential and protected health information in accordance with HIPAA, company policy, and all applicable laws and regulations.
• Adhere to all applicable company policies, procedures, compliance requirements, audit activities, and reporting standards.
• Perform additional duties and assignments as directed by the supervisor.

What We’re Looking For

• Minimum of 5 years of healthcare billing, revenue cycle, accounts receivable, or related experience preferred.
• Experience working with third-party billing vendors, governmental agencies, or complex billing arrangements preferred.
• Certification in Medical Billing and Coding preferred but not required.
• Working knowledge of healthcare billing, accounts receivable, payer requirements, and basic medical terminology.
• Ability to review billing data, reconcile information, identify discrepancies, and coordinate resolution with internal and external stakeholders.
• Proficiency in Microsoft Office, particularly Excel, and experience working with EHR and/or billing systems.
• Strong communication, organization, follow-up, and problem-solving skills.

Why Join Us

• Be part of a mission-driven healthcare organization making a meaningful impact
• Work in a collaborative, fast-paced environment with room to grow

Benefits:

• Competitive Earnings
• Hands-on Training and Supervision
• Work-Life Balance
• PTO and Paid Holidays
• A comprehensive benefits package (Medical, Dental, Vision, Life, and more)
• 401k with company match