Revenue Integrity Coordinator

LifeStance Health

7d•$20 - $24•Remote

About The Position

The Revenue Integrity Coordinator assists the National RCM Strategy team by accurately and thoroughly reviewing claims billed to payers and insurance companies for reimbursement. In coordination with the Billing leadership team, the coordinator uses billing knowledge to support timely and accurate processing of patient accounts. The position is suited to someone who can work independently, support a national organization, and remain accountable in a virtual team environment. It is fully remote and may be performed anywhere within the United States.

Requirements

High school diploma or GED equivalent.
At least 1 year of experience in a medical billing role.
Previous experience with an electronic medical or health record; AdvancedMD is preferred.
Understanding of EAP and behavioral health carve-out plans.
Understanding of CPT codes, modifiers, mental health provider types, and how each affects reimbursement.
Understanding of healthcare information privacy legislation, such as HIPAA.
Strong attention to detail.
Must be legally authorized to work in the United States.
Demonstrated awareness, inclusivity, sensitivity, and humility, with experience working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other aspects of culture.
Ability to regularly sit, stand, bend, talk, and hear; frequently walk; and lift or move objects up to 25 pounds. Required vision abilities include close, distance, color, and peripheral vision, depth perception, and the ability to adjust focus.

Nice To Haves

At least 2 years of experience in behavioral health or mental health, preferably.
Previous experience with AdvancedMD.

Responsibilities

Perform claim-level work after a national billing trend has been identified and its root cause determined.
Maintain current knowledge of correct and lawful payer billing practices.
Submit corrected claims to payers for reconsideration.
Review postings or take action to resubmit claims to a payer, as needed.
Verify patient demographic information in relation to insurance status and coordination of benefits (COB).
Review ERAs and understand billed charges, expected allowable amounts, and actual allowable amounts.