Mindful Health · 3 days ago
Revenue Cycle Specialist
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Responsibilities
Confirm client registration prior to appointment, including verifying and/or obtaining and documenting demographic information, insurance information, and authorization information.
Coordinate insurance verification documentation and provide status to the team.
Analyze reports of clinical activity to ensure billing is accurately captured for all clients.
Provide timely and professional customer service, verify any discrepancies, and resolve client billing concerns, answer questions from clients, facility staff, and third-party payers.
Engage with clients/contractors/providers to clarify billing/coding/claims concerns, and correct deficiencies.
Create detailed client encounter reports that support charges.
Review the explanation of benefits (EOB) for patterns of rejected claims.
Research denied claims. Determine and complete the appropriate resolution process.
Maintain a working knowledge of payer guidelines regarding timely filing, appeals, and corrected claims.
Assist with training new team members.
Review payer regulations to ensure compliance.
Coordinate billing and collection activities.
Manage outstanding client accounts and initiate follow-up efforts as needed.
Manage outstanding insurance accounts and initiate follow-up efforts as needed.
Evaluate billing processes and procedures and make suggestions for process improvement.
Perform other duties as assigned.
Qualification
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Required
Working knowledge of medical terminology and anatomy.
Strong attention to detail and accuracy.
Strong organizational skills and the ability to work on a deadline.
Ability to work independently and as part of a team.
High integrity with excellent problem-solving abilities.
Excellent written and verbal communication skills with an emphasis on customer service.
Ability to operate a personal computer and proficient with Microsoft Office Suite and medical office software, including electronic medical record software.
Understanding of and commitment to appropriate protection of confidential client information.
Associate's degree or equivalent relevant experience.
2+ years’ experience with healthcare billing/full revenue cycle experience, including all major third-party payors, Medicare, and Medicaid billing.
Demonstrated knowledge of regulatory guidelines and requirements for collections.
Ability to alternate between sitting and standing for extended periods of time.
Ability to lift, hold, push, and pull fifteen pounds.
Ability to move about inside the office to perform job responsibilities.
Ability to operate a computer and/or laptop through proficient typing, clicking, and viewing a monitor for extended periods.
Ability to view computer monitors with close vision, color vision, depth perception, and ability to adjust your focus with good hand-eye coordination.
Must be able to effectively communicate with clients/team members/customers, and clearly express oneself while exchanging information.
Ability to read, write, and comprehend through listening.
Ability to perform essential job functions consistently, safely, and successfully with the ADA, FMLA, and other federal, state, and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards.
Preferred
Bachelor’s degree preferred.
Certified Professional Coder designation, or equivalent professional certification preferred.
Experience with psychiatric or other telemedicine is strongly preferred.
Benefits
120 hours (15 days) of paid time off
40 hours (5 days of sick leave)
24 hours (3 days) of paid bereavement leave per occurrence.
9 paid holidays
Medical and supplemental health insurance (vision, dental, long-term disability, short-term disability, life insurance, etc.).
Professional development opportunities