Reimbursement Specialist

Blue Ridge Behavioral Healthcare   Roanoke, VA   Full-time     Accounting
Posted on March 9, 2023
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Do you have excellent problem-solving skills and the ability to build relationships and communicate between teams? We have a new opportunity available!

The Reimbursement Specialist will gain an understanding of each aspect of the revenue cycle and lead the investigation of revenue-related issues. They communicate as an intermediary between clinical and reimbursement teams to identify workflow improvements. The goals of this position are to increase efficiencies, reduce denials, promote transparency to the processes, and improve collection results.

Primary areas of responsibility include:

  • Maintain the client data billing and collection system to ensure compliance with billing and coding requirements, and improve efficiencies of the system setup and use.
  • Review identify, and implement changes and/or corrections needed to resolve services that do not meet the criteria for billing. 
  • Investigate issues by working with clinical and reimbursement teams and make recommendation to improve processes and workflows.
  • Measure collection results in order to identify areas of concern and recognize areas where improvements have been realized. 

Minimum Requirements:

  • Education: Associate's degree, vocational technical degree or specialized training and experience that is equivalent to satisfactory completion of two (2) years of college in a related field.
  • Experience: Minimum of two years' experience in healthcare. Reimbursement experience preferred.
  • Background Check: Candidates that are offered a position must undergo a criminal background check and drug screen.

Why work at BRBH?

  • Supporting our mission: This role provides a critical function of the Business & Finance Office, which allows BRBH to remain fiscally stable in order to continue serving our clients. Each day BRBH makes a difference in our community for individuals that have mental illness, developmental disabilities, and substance use disorders.
  • Great co-workers: Our staff work hard and support each other in a team atmosphere.
  • Work/Life Balance: We have a great Paid Time Off policy - 29 days annually, which starts accruing on your first day.
  • We offer great benefits, including VRS (Virginia Retirement System)! Click here for more information: https://www.brbh.org/benefits/
  • Want to know more? Check out our Employment Page to see employee reviews and more information about BRBH: http://www.glassdoor.com/Overview/Working-at-Blue-Ridge-Behavioral-Healthcare-EI_IE464369.11,43.htm

Blue Ridge Behavioral Healthcare (BRBH) is one of forty Community Services Boards established under the Code of Virginia to provide comprehensive services for individuals who have mental health disorders, developmental disability, or substance use disorders. We are charged also with continuously monitoring and evaluating our services to ensure their cost effectiveness and applicability to current citizen needs. BRBH operates multiple programs throughout the Roanoke Valley with over 400 employees working to provide or support our services. We are proud to have served our community for over 50 years. Blue Ridge Behavioral Healthcare maintains a drug-free workplace and equal opportunity employment. This position is located in Roanoke, VA.

BRBH follows CMS (Centers for Medicaid & Medicare Services) guidelines, which require, if hired, proof of COVID-19 vaccination, or an approved medical or religious exemption.