Job Description

The mission of Helio Health, Inc. is to promote recovery from the effects of substance use and mental health disorders and other health issues. To support the mission of Helio Health, Inc. the Revenue Cycle Management Team Leader will oversee and support a team that receives patients, collects insurance and other information to ensure payment for services, and process medical records and clinical data necessary to manage services rendered by the Agency. This particular RCM Team Leader position will oversee our Syracuse Residential programs.

Pay Range: $60,000.00 - $70,000.00

Responsibilities

• Trains Supervises and evaluates personnel dealing with patient billing. Assigns work, taking into account requirements for the completion of assignments. Provides supervision in conjunction with the Director of Revenue Cycle Management and the Program Service Directors.
• Ensures assessment of patient billing; sets measurable goals and plans for continuous improvement.
• Manage staffing, hiring/terminations, scheduling, time-off requests, timecard management, continuous quality improvement, re-education/training, supervisions, and performance evaluations.
• Maintains the current knowledge of legislation, regulations and ruling relative to insurances, including Medicaid programs.
• Counsels and advises clients regarding Helio Health programs and Revenue Cycle Management and Medical Records procedures.
• Assists in administering the Medicaid programs through the interpretation and implementation of regulations to ensure proper verification of information and collection of documentation, accurate assessment of need and aid eligibility, aid disbursements and preparation of fiscal reports.
• Overseeing intake process to ensure proper verification of information and collection of documentation, accurate assessment of need and aid eligibility.
• Oversight of initial notification for authorization
• Oversight of billing error reports, and Aging billed/unbilled trends.
• Oversees the preparation and completion of fiscal operations reports and application to participate in insurance carrier programs.
• Researches data, compiles statistics, and provides detail for a variety of reports and responds to questionnaires from outside agencies.
• Coordinates the authorization of services with Insurance Providers and clinical staff.
• Completes special assignments as requested.
• Ensures that records are maintained and accessible in accordance with audit requirements and federal/state regulations; provides detail for response to audits and program reviews.
• Coordinates the authorization of services with Insurance Providers and clinical staff.
• Other duties as assigned.

Qualifications

• Two year degree in finance, education, administration or a combination of experience in a related field preferred.
• Experience in a leadership and managerial role, including supervision of staff, and expertise in the design, development and administration of automated billing systems and electronic processing of patient account data.
• Must be proactive, demonstrate sound judgment, have excellent communications and problem-solving skills and possess the ability to multi-task.
• Experience in coding and Medicaid billing strongly desirable.

Our Comprehensive Employee Benefits Package Includes:

• Health insurance including dental and vision for employees and families.
• Paid Vacation and Sick leave - No Waiting Period for accruals.
• 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).

Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law.

Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health's good faith belief of what is accurate at the time of posting. Salary and hourly compensation offers are based on candidate's education level and experience relevant to the position and also take into account information provided by the hiring manager and program.