Revenue Cycle Specialist II

The role

You will bill the services Helping Hands Family provides, collect revenue, and support families through the billing and collections process. You will own a book of healthcare accounts receivable and work denials and appeals.

What you will do

• Own a defined book of healthcare accounts receivable and drive resolution
• Handle denial response and follow up via Waystar and insurance portals
• Submit commercial and Medicaid primary and secondary claims
• Work claims in all aging buckets from initial billing to final resolution
• Identify and correct billing errors, rejections and denials
• Run denial investigations and appeals
• Escalate issues at plan level and report payer trends to leadership
• Review billing data for accuracy, including data entry
• Ensure billing and collections follow compliance policies
• Stay current on payor processes and guidelines

Required qualifications

• 1-2+ years healthcare billing/collections experience
• Strong communication and presentation skills
• Strong critical-thinking and deductive reasoning skills
• Confident phone communication on behalf of the agency
• Excellent written communication for emails and reports

Nice to have

• Central Reach and ABA experience
• Experience with PA Medicaid payors

Benefits

• Great Place to Work Certified employer (2021 to 2025)
• Supportive, inclusive culture

Before you apply

• Offers are contingent on a background check, including identity, reference, criminal history and fingerprint screening
• All new hires must complete E-Verify
• No immigration sponsorship is provided for this role

About the company

Helping Hands Family is a top-rated ABA provider focused on a supportive, inclusive culture. The company works to make a lasting impact on children's lives.