Revenue Cycle Management Aging Specialist

Lifeline Connections • Vancouver, WA

3d • $19 - $21 • Onsite

About The Position

Lifeline Connections is a community-based behavioral health organization that specializes in providing confidential and compassionate care to individuals who experience substance use and/or mental health conditions. Our Vision - As the premier provider of substance use and mental health services in the Pacific Northwest, we are respected and the most trusted resource for behavioral health treatment and whole-person care. We provide a comprehensive continuum of coordinated quality services, foster enduring relationships, and empower our communities to truly thrive. Our Mission - Through superior customer service, high quality programs, and well-trained and dedicated staff, we inspire hope and support lifesaving changes for people affected by substance use and mental health conditions.

Requirements

• Possess three to five years’ experience in medical/non-profit billing using electronic health records, clearinghouse, and electronic claims and payments, customer service, and payment collections.
• Requires a detailed understanding of insurance billing, Medicaid billing in Provider One, ICD-10/CPT codes, HCFA 1500, UB-04 and an understanding of insurance requirements for payment.
• Ability to produce accurate information and reports using Microsoft Excel advanced skills.
• Ability to communicate clearly and effectively.
• Great attendance.
• Collaborative: Ability to work well with others.
• Must be highly organized, detail oriented, possess good analytical skills, effective verbal and written communication skills, and be able to work well under pressure.

Nice To Haves

• Medical Billing and Coding Degree preferred
• Prior experience with Qualifacts’ CareLogic electronic health record preferred

Responsibilities

• Verifies patient eligibility and/or benefits via telephone or website, follows up with patient and health plan to determine that the patient is covered and documents findings in the ECR.
• Provides outstanding customer service to patients and staff via answering calls and emails to the billing office in a timely, accurate manner, and completing documentation in the ECR, if applicable.
• Assists patient in applying for and then approving them for a Sliding Scale or other available funding, notifies the patient, and enters the information into the ECR.
• Assist people in receiving services and families to access benefits, including Medicaid, and enroll in programs that may benefit them.
• Provide patients access to WA Apple Health BH Services Booklet.
• Accurately completes treatment cost estimate forms and payment agreements for patients and documents in the ECR.
• Responsible for running and maintaining daily account / follow-up reports over 90 days while maintaining organization’s productivity standards.
• Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation.
• Maintains open and effective communication with payer provider representatives to assist in large scale denials/reimbursements.
• Reviews insurance remittance advices, researching denial reasons and resolving issues through well-written appeals.
• Conducts follow-up process activities through phone calls, online processing, fax, and written correspondence.
• Work requires proactive troubleshooting, significant attention to detail and the application of analytical/critical thinking skills to analyze denials and reimbursement methodologies and bring timely resolution to issues that have a potential impact on revenues.
• Complete account audits as needed.
• Reviews self-pay claims to determine if a payer or funding can be entered, or confirming the claims are indeed self-pay.
• Reviews accounts for patient charges and prepares for statement processing.
• Runs statements and processes them for sending electronically.
• Contacts patients for payment requests, overdue payments, denied claims and arrange payment plans.
• Responsible for identifying, researching, and resolving credit balances, missing payments, and unposted cash as it pertains to billing account follow-up.
• Respond to and submit refund requests.
• Reviews patient accounts for referral to Third-Party Collections, prepares the Third-Party Collections report, and submits account to Third-Party Collections.
• Communicates effectively with payer customer service representatives and maintains professional communication with team members to support denials resolution.
• Prioritize tasks to meet multiple deadlines and productivity requirements.
• Complete training and attend weekly staff and other meetings.
• Complete the training for Apple Health/Medical insurance.
• Can work independently without assistance.
• Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation.
• Maintains strictest confidentiality; adheres to 42 CFR part 2 and all HIPAA guidelines/regulations.
• Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function.
• Establishes and maintains professional and effective relationships with peers and other stakeholders.
• Will work as part of a billing team.
• Supports and implements agency policies and procedures.
• Performs special projects as assigned by supervisor.

Benefits

• Multiple options for medical, dental, and vision coverage for employees and their eligible dependents.
• Employer-paid Short Term Disability, Long Term Disability, and Life Insurance, along with access to supplemental coverage options.
• 401(k) retirement plan
• Generous paid time off.
• Paid holidays and personal holidays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree