Revenue Cycle Specialist

Job Description

REQUIREMENTS

• Must have a minimum of a high school diploma or GED, BA Preferred

• Preferred minimum of three years’ experience in patient account billing and collection, preferably with Psychiatric Hospitals and/or Psychiatric Residential Treatment facilities.

• Knowledgeable of third-party payors

• Attention to detail and problem solving

• Highly proficient in working through complicated payer denials

• Excellent written and verbal communication skills

• Strong organizational skills

• Strong ability to use sound judgement and take initiative to projects

• Displays excellent service excellence to everyone

RESPONSIBILITIES

• Submits monthly claims and invoices along with discharge claims within two business days of creation.

• Reviews Payor Aging and works accounts accordingly for multiple sites within a Central Business Office Environment.

• Ensures accurate, complete, and timely account follow-up. Documents accounts within Perimeter guidelines.

• Resolves claim processing issues in a timely manner, escalates problem claims to their supervisor.

• Resolves credit balances in a timely manner.

• Reviews Remittance Advices daily and prioritizes Zero Pay accounts for immediate resolution.

• Works directly with Payor Plans/Funding Sources to resolve ongoing issues.

• Communicates Payor updates to Revenue Cycle Leadership in a timely manner.

• Reviews Facility Correspondence in a timely manner.

• Reviews new Admissions for Payor Plan accuracy.

• Prepares write-off requests based on review of balances, and submits to leadership for review and approval

• Reviews Denial Log and coordinates Denial write-offs with Facility UM Director.

• Familiar with billing requirements for payor plans…not limited to Medicaid and Medicare.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

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