Revenue Cycle Specialist

ODYSSEY BEHAVIORAL GROUP•Deerfield Beach, FL

4d•Onsite

About The Position

Our residential treatment program provides hope for clients suffering from mental health and substance use disorders, helping them ensure sustained recovery. Located in beautiful Deerfield Beach, Lifeskills provides a secure and nurturing atmosphere for balanced recovery and healing. Residential treatment program clients live in fully furnished townhomes that are professionally staffed 24-hours a day. This realistic, home-like setting allows residents to adapt their new coping skills within the local community and practice their daily routines while taking part in the therapeutic process. In our residential treatment program, we help our clients successfully transition back into their homes, family lives, and careers with newfound self-esteem, direction, and control. At Lifeskills South Florida, we are a dynamic, dedicated, and growing team of professionals deeply passionate about providing evidence-based and personalized clinical care for mental health disorders and behavioral health conditions. Since everyone has different experiences with mental health disorders, mental health therapies must be equally as unique to address those diverse needs. Working with qualified doctoral level clinicians at Lifeskills gives individuals the opportunity to develop personalized mental health treatment plans that address their needs and help them take the next step in their recovery. Our team’s foundation is client centered care and clinical excellence through our 5-star service commitment – Respect, Accountability, Integrity, Flexibility, Service, and Collaboration. We are committed to our team and our team is committed to our clients!

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.
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.
Understand 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.
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.