We are looking for a talented Revenue Cycle Specialist to join our Behavioral Healthcare practice. The Revenue Cycle Specialist will provide analytical support, A/R management, problem-solving, and communication on all matters about the revenue cycle.
Responsibilities
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Review unpaid claims and research reasons for delay
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Initiate collection follow-up of unpaid or denied claims with the appropriate payer
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Research appeal and resolve claim rejections, underpayments and denials with payers
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Process appeals by gathering information and resubmitting claims
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Communicate payment or denial trends that impact revenue to leadership
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Develop and maintain positive working relationships with team members and payer representatives
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Contact insurance companies to work out any discrepancies and get the claims paid
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Review outstanding accounts and aging report
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Process any adjustments as needed
EXPERIENCE and SKILLS REQUIRED
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2-4 years of healthcare billing and collections/financial experience required. (four year degree may substitute).
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Working knowledge of CPT, ICD-10 coding, and Federal/managed care rules and regulations preferred.
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Ability to present in front of large groups.
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Ability to anticipate and field questions.
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The utmost professionalism to work with senior leaders in the company.
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Ability to multitask and manage multiple projects or training at one time.
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Proficient Microsoft Office skills
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Effectively communicate both verbal and written, to a variety of individuals.
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Excellent problem-solving skills.
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Ability to work independently and prioritize assignments.
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Positive attitude, enthusiastic, an energetic
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Can work remotely and stay on task
What You Can Expect:
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We are team-centric with an open communication culture and we want to coach you to excellence.
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You will work in a collaborative environment where you are encouraged to grow and develop your professional skills.
The compensation starting range for the Revenue Cycle Specialist role is $17-$20 hourly. Ranges are based upon market expectations and are dependent upon candidate experience. We offer competitive benefits.