Revenue Cycle Specialist II- MUST RESIDE IN COLORADO

Why work at Rocky Mountain Human Services?

You will have the opportunity to contribute to an organization that is dedicated to embracing the power of community to support individuals and families in creating their future.

RMHS provides great benefits such as:

• Employer paid medical options, dental, and vision benefits
• Generous paid time off such as vacation, sick, personal, and holidays
• Life and disability insurance
• Tuition reimbursement (full-time employees only)
• Mileage reimbursement
• 403(B) with company match
• Flex Spending Account for Health and Dependent Care Costs
• Employee assistance program

Position Purpose

The Billing and Receivable Specialist works with different programs within RMHS and revenue cycle department in order to consistently submit claims to insurance payers and to ensure that they are paid as per contract terms. This position is also responsible for communication with internal and external customers and health service providers.

Essential Duties

• Performs insurance verifications, prior authorizations and re-authorizations as required by funding source
• Responsible for submitting claims and ensuring follow up on outstanding claims
• Ensures information obtained is complete and accurate to request appropriate authorizations
• Collaborates with internal departments and external providers on utilization management of authorizations
• Acquires and shares knowledge of authorization requirements for all funding sources for behavioral health in the State of Colorado (commercial and waiver)
• Ensures all services have authorizations properly documented in all software applications necessary and communicated to all programs within RMHS
• Ensures up-to-date documentation in billing software
• Ensures compliance with all federal, state, local and internal policies and procedures
• Performs other duties as assigned with a comprehensive understanding of all functions on the entire revenue cycle