Reimbursement Team Coordinator

Full Job Description

The Loudoun County Department of Mental Health, Substance Abuse and Developmental Services is seeking a talented and motivated individual to serve as a Reimbursement Team Coordinator in the Finance program. In this role, you will work with a trusted and reputable team that has a history of success connecting individuals and their families with person-centered, recovery-oriented services and supports.

We welcome new teammates who approach their professional careers with enthusiasm and dedication to our diverse and fast-growing county. Come be a part of something that matters.

Requirements

Loudoun County Department of Mental Health, Substance Abuse and Developmental Services is seeking a detail oriented and highly organized Reimbursement Team Coordinator to join the Financial Services program.

Working under the supervision of the Medical Reimbursement Manager, the Reimbursement Team Coordinator serves as the operational lead for all billing and reimbursement functions.

This role is responsible for overseeing medical billing operations, including Medicaid and other third-party payers, and ensuring accurate, timely, and compliant reimbursement.

The coordinator provides day-to-day leadership to the Reimbursement team, drives process improvement, acts as a subject matter expert in medical billing and reimbursement, and plays a key role in supporting the Department's revenue cycle performance.

Duties include, but are not limited to:

Supervise and coordinate daily activities of reimbursement and billing staff to ensure timely, accurate, and compliant billing of claims for Medicaid, Medicare, and commercial insurance.

Provide training, guidance, and technical support to billing staff on claim submission procedures, coding requirements, payer updates, documentation standards, and contractual compliance with Managed Care Companies and commercial insurance payers.

Manage performance of assigned staff.

Oversee claim resolution activities, including reviewing denials, coordinating appeals, and collaborating with clinical staff and payers to optimize reimbursement outcomes.

Compile and analyze reimbursement and billing data through various kinds of reports with staff and Medical Reimbursement Manager to identify trends, challenges, and recommend process improvements to enhance revenue cycle performance.

Monitor and evaluate billing workflows, productivity, and accuracy to identify inefficiencies and implement corrective actions.

Develop and update billing policies, procedures, and internal controls to promote consistency and accountability across the billing function.

Review and send monthly collection notices to overdue accounts. Send accounts to Debt Set Off, validating the debt. Completing the year-end Debt Set Off upload.

Participate in audits, reconciliations, and quality improvement initiatives to ensure compliance with federal, state, local and payer-specific regulations and requirements.

The ideal candidate will have extensive knowledge and experience in medical billing and reimbursement, including Medicaid, and a strong understanding of revenue cycle operations. Additionally, the candidate will also possess strong written and verbal communication, organizational, and analytical skills, proficiency in Microsoft Office applications, and be able to effectively manage multiple priorities while supporting team performance and continuous improvement initiatives across billing and reimbursement operations.

Qualifications

Bachelor’s degree in Accounting or related field and three (3) years of related work experience in professional-level accounting, preferably in a government accounting setting or equivalent combination of education and experience.

Preferred:
Professional certification in medical billing, coding, or revenue cycle management, such as:

• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Certified Professional Biller (CPB)
• Certified Medical Reimbursement Specialist (CMRS)
• Revenue Cycle Management Specialist (RCMS)

Additional Information

Employment is contingent upon successful completion of background check(s), to include criminal, credit, fingerprinting, DMV checks, and a negative TB screen/test. Must have a valid driver’s license in Virginia or regional state of residence (driving records may be reviewed annually for continued qualification).