Revenue Cycle Coordinator

ODYSSEY BEHAVIORAL GROUP•Mahanoy City, PA

1d•Hybrid

About The Position

STR Behavioral Health’s premier mental health and addiction treatment centers are located in Lancaster, Levittown, Bucks County, and Lehigh Valley, PA. The programs we offer include detox, residential, partial hospitalization, intensive outpatient, and outpatient care with licensed recovery housing. The approach at our treatment centers is firmly rooted in individualized, person-centered care to help clients uncover the “why” behind their disorders and help them build foundational relationships that help answer the “how” in moving forward. We work closely with every client to create personalized, high-quality treatment plans that cater to their specific needs and increase their chances of success. Our clinical team also meets regularly to adjust each treatment plan as the client progresses through treatment. Additionally, we work closely with each client’s family and other stakeholders to help people thrive in recovery.

Requirements

High School Diploma or equivalent
Minimum of three (3) years healthcare insurance billing experience, preferably within behavioral healthcare and substance use disorder treatment.
Demonstrates strong organization skills and a high level of attention to detail.
Demonstrates effective verbal and written communication skills.
Demonstrates familiarity and knowledge with local insurance carriers.
Demonstrates proficiency with Microsoft Office Suite, EMR, and billing software.
Demonstrates basic knowledge of paper billing processes.
Demonstrates excellent teamwork.
Demonstrates excellent time management.
Demonstrates a commitment to continuous learning and improvement.
Demonstrates commitment to the mission, vision, and values of STR Behavioral Health.

Responsibilities

Responsible for weekly billing, researching payment discrepancies, and claims denial management.
Ensures billing practices are ethical and compliant with company policies, and government regulations and guidelines.
Follows HIPAA guidelines in handling patient information.
Prepares appeal letters to insurance carriers, when necessary to obtain reimbursement.
Compiles medical records and documentation, to provide support to Utilization Review appeals process and compliance department review.
Reviews daily technical and professional billing charges for multiple facilities.
Prepares monthly patient responsibility invoices and performs collections follow-up.
Ensures accurate billing based on services provided.
Provides excellent customer service, responding calmly and making rational decisions in stressful situations.
Responsible for billing systems in maintenance, rate verification, and rate updates, including the application of contractual adjustments and allowances.
Confirms admissions, transfers, and discharges with Admissions Department and reconciles weekly census to ensure the accuracy of billing.
Performs other duties as assigned.