Revenue Cycle Specialist

ODYSSEY BEHAVIORAL GROUP•Deerfield Beach, FL

About The Position

The Revenue Cycle Specialist is responsible for performing billing functions that enable and expedite collections. The Revenue Cycle Specialist helps improve cash flow and participates in managing the overall health of the company's receivables.

Requirements

Associate's Degree preferred or High school diploma with at least 3-5 years’ experience with insurance billing and collections.
3-5 years’ experience acting as a liaison between insurance companies and family members/guarantors.

Nice To Haves

Prior experience in Mental Health, Substance Abuse Disorder Treatment, or behavioral healthcare field preferred

Responsibilities

Develops, implements, and manages manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes.
Excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances.
Review client bills for accuracy and completeness and obtain any missing information.
Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
Utilizes system reports to reconcile payments posted in practice management systems.
Works electronic insurance rejections to retransmit with corrected insurance information.
Monitors census daily to ensure completeness and accuracy.
Works rebills submitted to the billing department through the electronic billing system or payer source.
Re-bill and appeal claims based on payer rejections and denials.
Accurately post payments and adjustments.
Resolve issues that arise from information/claims submitted as well as revenue cycle issues.
Review credit reports and process applicable refund to client or insurance carrier.
Understand and interpret insurance Explanation of Benefits, knowing when and how to ensure that payment has been received.
Research and resolve rejected, incorrectly paid and denied claims.
Respond in a professional and timely manner to all billing-related inquiries from clients, staff and payers.
Understands authorizations and limits to coverage such as the number of authorizations/units.
Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information.
Policies and Procedures - demonstrates knowledge and understanding of organizational policies, procedures and processes.
Backup to Benefits verification process.
Understands and can accurately complete a Verification of Benefits as requested by admissions team.