Revenue Cycle Specialist I – Insurance Follow-Up

Senior PsychCare•Houston, TX

6d•$17 - $20

About The Position

Senior Psych Care provides fully integrative behavioral health services to long-term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Our multi-disciplinary team realizes that older adults have special physical, emotional, and social needs. The psychiatrist leads a team of nurse practitioners, physician assistants, and psychotherapists (LCSW, LPC, PhD/PsyD), who take a comprehensive approach to diagnosis and treatment. We are looking for a Revenue Cycle Specialist I to add to our team in the Revenue Cycle Department. The Medical Collections Specialist is responsible for collecting payment on overdue bills and accounts. These duties include, but are not limited to, the following:

Requirements

Minimum of 1 year of experience in revenue cycle within a healthcare organization
Insurance verification and billing processes are highly preferred, including familiarity with payer policies, coverage requirements, and claims workflows.
Familiarity with Medicare, Medicaid, and third-party payer requirements
Strong attention to detail and organizational skills
Works well in a team-oriented environment; collaborates effectively with peers and leadership to achieve department goals.
Excellent communication and customer service skills
Candidate must exhibit excellent time management and organizational skills.
Ability to work independently and adapt to a fast-changing environment.
Adhere to HIPAA guidelines and regulations.
Experience utilizing Medical Billing Software.

Responsibilities

Monitor and follow up on outstanding claims using phone, payer portals, and written correspondence to resolve unpaid, delayed, or denied claims.
Interpret Explanations of Benefits (EOBs), remittance advice, and denial codes to determine next steps for resolution.
Collaborate with providers, billing staff, and leadership to resolve billing discrepancies, coding issues, and payment posting errors.
Document all billing activities, correspondence, and collection efforts thoroughly within billing systems.
Share insights and best practices with colleagues to improve department efficiency and outcomes.
Contribute to a team culture centered around problem-solving, integrity, and a shared mission to support patient care through effective revenue stewardship.
Execute various tasks, as assigned by your manager, supervisor, or company officer, whether within your standard duties or as requested beyond regular responsibilities.