Revenue Cycle Specialist II

Our Revenue Cycle Specialist directly contributes to our mission by timely and accurately billing the services we provide, collecting revenue, and working with families to make sure they feel supported throughout the billing process.

This is a hybrid role based in King of Prussia, PA, with in-office work Tuesday through Thursday and remote on Mondays and Fridays. Candidates must be local to the King of Prussia, PA area. 

 SPECIFIC RESPONSIBILITIES:

• Own a defined book of business within accounts receivable, proactively identifying payer behavior patterns, validating correct reimbursement, and driving resolution to optimize revenue performance.


• Denial response and accounts receivable follow up via Waystar and insurance portals


• Commercial and Medicaid, primary and secondary claims submission


• Work and manage claims from all aging buckets from initial billing through final resolution including identifying and correcting billing errors/rejections and denials


• Denial management investigations & appeals
  
  
  
  • Escalation at plan level to further understand processing and denials
  
  
  • Identify trends on a plan/insurance level and escalate to leadership timely
  
  
  • Input & Review billing data for accuracy, including data entry.
  
  
  
  


• Ensure that billing and collections adhere to all compliance policies and procedures.


• Follows up on claim resolution from initial billing through final


• Stay up to date on current payor processes and guidelines


• Other responsibilities as assigned by the billing manager and director

Skills and Competencies:

• 5+ years billing experience required.


• Central Reach, ABA, and/or previous remote experience required for remote work.


• Associate Degree in Accounting/Finance Management is plus, but not required.


• Strong communication and presentation skills are important.


• Strong critical-thinking skills and self-motivation (addition – may move to personality?)


• Previous patient admission or verification experience required.


• Confident communication skills for fielding calls on behalf of the agency and its representatives.


• Excellent written communication skills for professional emails and various reporting methods.


• Experience working with PA Medicaid payors a plus

Personality: A successful Team Member will be…

• Detail-oriented & highly organized


• Communicative & collaborative


• Committed to purposeful care


• Ambition to grow with the company

Ready to Make a Difference? Apply Now!

Helping Hands Family (HHF) is Great Place to Work Certified™ in 2021, 2022, 2023, 2024, and 2025. We are a top-rated ABA provider dedicated to a supportive and inclusive culture. We offer rewarding work experiences, including making a lasting impact on children’s lives.

All offers of employment are contingent upon the successful completion of a comprehensive background check. This includes Social Security and identity verification, reference checks, criminal history check, fingerprint screening, and any other relevant checks to ensure the safety and well-being of the children we serve. All new hires must complete E-Verify as required by USCIS. HHF does not provide immigration sponsorship for any roles at this time.

Helping Hands Family is dedicated to a supportive, inclusive culture. From growing our team to the client treatment plans, we have committed to celebrating differences and helping everyone reach their highest potential. HHF is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.