Human Services Management Corporation (HSMC) provides shared business and consulting services to both non-profit and proprietary human services agencies. These services include accounting, payroll, third party billing and collections, human resources, online and live Continuing Education, marketing, facility development and quality assurance programs.

We are currently seeking a Revenue Cycle Analyst with a strong background in medical insurance and/or healthcare billing and collections who will report to the AVP of Revenue Cycle.

Scope of Responsibilities:

• Plans and directs insurance documentation, workloads, and data processing to ensure accurate billing and collections
• Responsible for the insurance/school/other contract renewal process under the direction of the AVP of Revenue Cycle; including amendments to fee schedules and contract terms
• Maintains contact with other departments to obtain and analyze additional information needed to document and process accurate billing, minimizing the denials received by the collectors
• Acts as a neutral party to select and prepare monthly audit report for Revenue Cycle Directors     
• Acts as point person for system implementations for existing and new clients        
• Responsible for ad-hoc project work as assigned by the AVP of Revenue Cycle
• Keeps up to date with insurance and DPH rules changes, and aligns system functionality and processes with changes
• Understands and remains updated with current coding and billing regulations and compliance requirements
• Provides, oversees, and/or coordinates the provision of training for new and existing 3rd Party staff on policies, procedures, etc.
• Oversees specialty contracts with school districts, CCSD and other contracts as assigned
• Provides system and analytic support to Directors of Revenue Cycle for ABA and EI clients

• High School Diploma required, Associates Degree in Business Administration, Accounting, Health Care Administration or related field preferred.
• Successful completion of program in medical billing or current Certified Medical Reimbursement Specialist (CMRS) certification will be considered in lieu of degree requirement.
• Minimum of five (5) years medical insurance/healthcare billing and collections experience in a medical practice or health system.
• Minimum of three (3) years revenue cycle analyst experience preferred. Experience in CPT and ICD-10 coding and familiarity with medical terminology.       

Please visit our website at www.hsmc.org to learn more about our organization!

Selection for employment is made regardless of race, color, religion, creed, sex, sexual orientation, gender identity/expression, pregnancy or pregnancy-related condition, martial status, national origin, ancestry, age, disability, handicap, genetic information, someone who is a member of, applies to perform, or has an obligation to perform, service in a uniformed military service of the United States, including the National Guard, on the basis of that membership, application or obligation; veteran status, or any other bases protected by law. HSMC participates in E-Verify.  

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