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About the Role

The Revenue Cycle Management Team Leader oversees and supports a team responsible for patient intake, insurance information collection, and medical record processing for the Syracuse-based CCBHC Outpatient Program to ensure payment for services.

Responsibilities

• Train, supervise, and evaluate personnel dealing with patient billing.
• Assign work based on completion requirements.
• Provide supervision in conjunction with the Director of Revenue Cycle Management and Program Service Directors.
• Assess patient billing and set measurable goals for continuous improvement.
• Manage staffing, hiring, terminations, scheduling, time-off requests, timecard management, and performance evaluations.
• Maintain current knowledge of legislation, regulations, and rulings relative to insurance and Medicaid programs.
• Counsel and advise clients regarding programs and Revenue Cycle Management procedures.
• Administer Medicaid programs through interpretation and implementation of regulations.
• Oversee the intake process to ensure proper verification of information and documentation.
• Oversee initial notification for authorization.
• Monitor billing error reports and aging billed/unbilled trends.
• Oversee the preparation of fiscal operations reports and insurance carrier program applications.
• Research data, compile statistics, and provide details for reports and questionnaires.
• Coordinate service authorization with insurance providers and clinical staff.
• Ensure records are maintained and accessible in accordance with audit requirements and regulations.
• Provide details for responses to audits and program reviews.
• Complete special assignments as requested.

Requirements

• Two-year degree in finance, education, administration, or a combination of related experience preferred.
• Experience in a leadership and managerial role, including staff supervision.
• Expertise in the design, development, and administration of automated billing systems and electronic processing of patient account data.
• Proactive approach with sound judgment.
• Excellent communication and problem-solving skills.
• Ability to multi-task.
• Experience in coding and Medicaid billing strongly desirable.

Skills

• Staff supervision
• Automated billing systems
• Electronic patient account data processing
• Medicaid billing
• Medical coding
• Data analysis
• Reporting
• Communication
• Problem-solving

Location

• Syracuse, NY

Work Type

• Full-time

Education Level

• Two-year degree in finance, education, administration, or related field preferred

Salary/Compensations

• $60,000.00 - $71,000.00

Benefits

• Sign-on incentive up to $1,500.00 for full-time hires
• Health insurance including dental and vision
• Paid vacation and sick leave with no waiting period
• Paid holidays including a floating birthday holiday
• 401(k) plan with up to 5% company match
• Company-paid short-term disability insurance
• Company-sponsored life insurance
• Employee Assistance Program (EAP)

About the Company

• Helio Health, Inc. promotes recovery from the effects of substance use, mental health disorders, and other health issues.

Equal Opportunity

• Helio Health provides equal opportunity to all employees and applicants for employment without regard to race, creed, color, sex, parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history, genetic characteristics, marital status, family status, political affiliation, felony conviction record, or any other protected status.