Revenue Cycle Coordinator

CIVIQ HEALTH LLC•Mahanoy City, PA

1d•Hybrid

About The Position

The Revenue Cycle Coordinator is responsible for the accurate and timely billing of services provided to clients admitted to STR Behavioral Health facilities, patient responsibility collections, posting of payments, verification of benefits and authorizations, and claims resolution and follow-up.

Requirements

High School Diploma or equivalent
A 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.