Revenue Cycle Specialist
Description
Reports to: Revenue Cycle Manager
FLSA Status: Exempt/Full Time
Compensation: $45,000 - $52,000 per year
Travel/Location: Onsite - in office, based out of our Corporate Location in San Antonio, TX
Job Summary:
The Revenue Cycle Specialist at Empower Behavioral Health (EBH) is a key member of the revenue cycle management team. This individual is responsible for overall billing and claims support throughout the business. Working in a fast-paced, growing organization, this position is focused on the ever-growing needs of the EBH billing team in line with the EBH standard of patient care. This position will rely heavily on communication and multi-tasking abilities.
Duties and Responsibilities:
- Prepare, review, and transmit weekly claims
- Complete weekly payment posting and reconciling of Explanation and Benefits
- Pull remittance from payer portals
- Communicate directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement
- Monitor daily billing functions
- Respond to all medical records requests in a timely manner
- Prepare month-end reports accurately in preparation for the monthly meeting
- Facilitate monthly billing meetings to provide updates
- Research and compile, necessary documentation and complete the appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary.
- Analyze and manage root causes of denials and develop action plans to improve results
- Escalate any negative trends to the Revenue Cycle Manager for review
Requirements
Competencies:
- Planning and Evaluating (Workload Management)
- Problem Solving
- Attention to Detail
- Results-Oriented
- Customer Service
- Oral and Written Communication
Education and Experience:
Required:
- High school diploma or equivalent
- Minimum of one year of healthcare professional billing experience
- Previous experience with Claim Submission Requirements
- Experience with revenue cycle and how various components work together
- Experience or exposure to any Practice Management Software
- Experience with a large number of taking inbound and outbound calls while maintaining a professional manner
Preferred:
- Experience with Central Reach practice management system
- Experience working in an administrative setting
- Experience working in a growing organization
Empower Behavioral Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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Why Choose Empower Behavioral Health (EBH)? EBH is a clinic-based day program that provides full-time ABA (Applied Behavioral Analysis) Therapy for individuals who have been diagnosed with autism or a developmental disorder. We currently have cli...
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