Revenue Integrity Coordinator

LifeStance Health

3d•$20 - $24•Remote

About The Position

The Revenue Integrity Coordinator assists the National RCM Strategy team with accurate, detailed, and thorough review of claims billed to payers/insurance companies for reimbursement. Working in coordination with the Billing leadership team, utilize billing knowledge to ensure the timely and accurate processing of patient accounts. The ideal candidate will be someone who has a strong desire to work individually while meeting the needs of a national organization. An important key requirement is the self-accountability to drive success in a virtual team environment. This position is fully remote and can be performed anywhere within the United States.

Requirements

High school diploma or GED equivalent required
1+ year of experience in a medical billing role
2+ years Behavioral Health/Mental Health space preferably
Previous experience with an electronic medical/health record, preferably AdvancedMD
Understanding of EAP and Behavioral Health carve out plans
Understanding of CPT, modifiers, Mental Health provider types and how each impact reimbursement
Understanding of associated privacy legislation related to healthcare information, i.e., HIPAA
Strong attention to detail
Qualified candidates must be legally authorized to be employed in the United States
Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture

Responsibilities

Claim level responsibilities are performed after a national trend has been identified and root caused
Maintain current information on correct and lawful practices for billing payers
Claim level actions to submit corrected claims to payer(s) for reconsideration
May include some posting review or actions to resubmit claims to a payer
Verify patient demographic information as it related to status of patient’s insurance as well as COB
Review of ERA’s received and understanding of charges, expected allowable and actual allowable