Remote - Revenue Cycle Specialist

Perimeter Healthcare•Alpharetta, GA

1d•Remote

About The Position

Perimeter Healthcare is seeking a Remote-Revenue Cycle Specialist to join their team. The company, with its corporate office in Alpharetta, Georgia, operates acute and residential facilities providing behavioral health services across multiple states. They are dedicated to improving the lives of individuals and families impacted by mental illness and are committed to providing hope and transforming lives in their communities. Candidates for this remote position must reside in the Eastern, Central, or Mountain Time Zones.

Requirements

Must have a minimum of a high school diploma or GED
Knowledgeable of third-party payors
Attention to detail and problem solving
Highly proficient in working through complicated payer denials
Excellent written and verbal communication skills
Strong organizational skills
Strong ability to use sound judgement and take initiative to projects
Displays excellent service excellence to everyone
This is a remote position. Must live in the Eastern, Mountain or Central Time Zone.

Nice To Haves

BA Preferred
Preferred minimum of three years’ experience in patient account billing and collection, preferably with Psychiatric Hospitals and/or Psychiatric Residential Treatment facilities.

Responsibilities

Submits monthly claims and invoices along with discharge claims within two business days of creation.
Reviews Payor Aging and works accounts accordingly for multiple sites within a Central Business Office Environment.
Ensures accurate, complete, and timely account follow-up. Documents accounts within Perimeter guidelines.
Resolves claim processing issues in a timely manner, escalates problem claims to their supervisor.
Resolves credit balances in a timely manner.
Reviews Remittance Advices daily and prioritizes Zero Pay accounts for immediate resolution.
Works directly with Payor Plans/Funding Sources to resolve ongoing issues.
Communicates Payor updates to Revenue Cycle Leadership in a timely manner.
Reviews Facility Correspondence in a timely manner.
Reviews new Admissions for Payor Plan accuracy.
Prepares write-off requests based on review of balances, and submits to leadership for review and approval
Reviews Denial Log and coordinates Denial write-offs with Facility UM Director.
Familiar with billing requirements for payor plans...not limited to Medicaid and Medicare.