Revenue Cycle Billing Specialist

We are a social enterprise that is actively changing the face of child welfare and are constantly searching for talented, purpose-driven professionals to join our community. We are a group of happy warriors, courageous mutants, and passionate pragmatists. Come join our island of misfit toys!   Position Summary   The Revenue Cycle Billing Specialist is responsible for managing the billing and reimbursement lifecycle to ensure accurate claim submission, timely reimbursement, payment posting, denial resolution, regulatory compliance, and effective collaboration with internal and external stakeholders.

This role supports the organization's revenue cycle performance through proactive accounts receivable management, accurate payment posting, customer service, and adherence to Necco's corporate culture and operational standards.   You Should Be Accurately Described As:   A detail-oriented and solutions-focused professional who demonstrates accountability, strong communication skills, critical thinking, and a commitment to supporting organizational success through effective revenue cycle operations.

You are resourceful, adaptable, and committed to continuous improvement while maintaining a high level of accuracy and customer service.   Claims Management & Accounts Receivable   Utilize the Electronic Health Record (EHR) system to generate claims for per diem and fee-for-service billing and submit invoices to payers   Review and act on submitted claims within established timeframes to ensure timely reimbursement and resolution   Monitor, investigate, and resolve held, rejected, denied, underpaid, or unpaid claims utilizing EHR, clearinghouse, and payer portal resources   Submit corrected claims, reconsiderations, and appeals as appropriate   Work assigned accounts receivable reports and prioritize follow-up activities based on aging and reimbursement risk   Maintain accurate, organized documentation related to billing activities, claim follow-up, and claim outcomes   Apply critical thinking to identify reimbursement trends, recurring claim issues, and workflow barriers; resolve issues within the scope of the role and escalate recurring or material concerns to Revenue Cycle leadership   Collaborate professionally with internal departments to obtain information necessary for timely and successful claim resolution   Payment Posting    Accurately post insurance, state, county, or other payer payments, denials, contractual adjustments, refunds, and other payment transactions within the Electronic Health Record (EHR) system     Review Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) documentation for accurate posting     Research and resolve payment posting discrepancies, variances, and exceptions     Investigate unapplied or unmatched remittance activity and coordinate resolution with appropriate internal teams     Maintain documentation related to payment posting activities and outcomes     Identify and communicate payment trends, patterns, or concerns that may impact reimbursement or operational efficiency     Assist with quality assurance reviews to ensure posting accuracy and consistency   Customer Service       Foster strong internal and external relationships to support timely resolution of billing and reimbursement discrepancies     Communicate clearly, professionally, and collaboratively with payers, service line teams, leadership, and other stakeholders regarding claim status, reimbursement issues, and required follow-up     Serve as a resource for billing, reimbursement, and payment posting inquiries     Identify and recommend opportunities for process and policy improvement based on trends observed during claim follow-up and reimbursement activities, and partner with Revenue Cycle leadership on appropriate workflow impr