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Revenue Cycle Reimbursement Specialist

Remote:

Full Remote

Contract:

Full time

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

Minimum 1 year of physician billing experience, High school diploma, Self-starter with minimal oversight, Strong written, verbal, and interpersonal communication skills, Intermediate computer skills in MS Office.

Key responsabilities:

Initiate AR follow-up on unpaid or denied claims
Resolve delinquent accounts proactively
Research, appeal, and resolve claim rejections/denials
Update patient demographic information in the system
Collaborate on identifying and resolving payment issues

Transformations Care Network Scaleup https://www.transformationsnetwork.com/

201 - 500 Employees

See more Transformations Care Network offers

Job description

At Transformations Care Network (TCN), we are committed to improving access to the highest-quality mental health care in our local communities. Our Revenue Cycle Reimbursement Specialists are an essential part of our business support team. This position reports to the Revenue Cycle Manager and is responsible for the accurate and timely collection of private and commercial payments.

Key Responsibilities

Initiate AR follow-up of all unpaid or denied claims with the appropriate Payor or Patient
Resolve delinquent accounts promptly by proactively working outstanding insurance accounts
Obtains missing claim information to ensure prompt payment
Research, appeal, and resolve claim rejections/denials with the appropriate Payor
Respond to written Payor communications as indicated with appropriate action promptly
Update insurance and/or patient demographic information in the practice management system as required during follow up process
Communicate payment or denial patterns that impact revenue to management promptly
Document daily in the practice management system all follow-up and communication on a patient account in a consistent and concise format
Processes adjustments when appropriate and by policies
Maintain knowledge of mental health billing, department policies, and procedures
Develop and maintain positive working relationships with cross-functional teams, teammates Payor representatives, and other key stakeholders
Consistently meet or exceed the department productivity and quality standards and performance requirements
Collaborate as needed to identify and resolve underpayments and overpayments
Other duties and responsibilities as assigned include but are not limited to:
Work overtime with little or no notice as needed
Attend team meetings, phone conferences, and training as needed

Qualifications

Minimum 1 year of physician billing experience
High school diploma
Self-starter; able to move own workflow along with minimal oversight
Accurate; detail-oriented and able to meet tight turnaround times
Strong written, verbal, and interpersonal communication skills
Ability to exercise initiative, judgment, and decision-making skills
Intermediate computer skills and proficiency in MS word, excel outlook and database management and internet usage
2-4 years of physician billing and accounts receivable in healthcare
Certified Revenue Cycle Representative or other billing certification

Explore The Advantages Of Joining Our Team

Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize client care.
Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
Play a pivotal role in reshaping behavioral health, with your efforts directly improving client lives.
Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.

Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.