Revenue Operations Specialist

7 days ago

Phoenix, United States Touchstone Health Services Full time
Job DescriptionJob Description

General Summary:

The Revenue Operations Specialist will be responsible for review and resolution of outstanding insurance balances on Commercial, Medicare and Medicaid accounts. Submitting claims electronically and/or paper. Review and resolve outstanding insurance balances for Commercial, Medicare and Medicaid accounts.

Essential Functions:

  1. Effectively manages assigned insurance receivables to achieve company set expectations
  2. Submit timely and accurate electronic and/or hardcopy claims
  3. Research, process and follow-up on claim denials and appeals in a timely manner
  4. Communicates with insurance companies as needed to resolve claim issues
  5. Verifies eligibility on AHCCCS and RBHA’s online website, reconciles and updates EMR accordingly.
  6. Applies daily deposits in EMR system to appropriate payers. Reconciles balances and follows up with contact

to agencies for payment

7.Audits current claims for errors. Sends errors to providers for corrections

8.Assist in special projects and perform other related duties as needed and assigned

Qualifications:

  • High School Diploma or GED
  • Must possess an AZ Fingerprint Clearance Card or be eligible for one
  • Must possess a valid AZ Driver’s License
  • Prior experience working in Healthcare setting, with health care insurances
  • At least one (1-3) years of behavioral health and medical billing experience preferred
  • Must be proficient be proficient in Excel. Ability to create and use Pivot Tables and V-Lookup Functions
  • Knowledge of CMS/AHCCCS guidelines
  • Requires excellent communication, problem solving, conflict resolution and organizational skills
  • Must be able to adapt to changing demands of the position, customer needs, and the organization

 

 

Company DescriptionTouchstone has been an integral part of the community since its creation in 1968, serving families across Maricopa and Pima Counties with over 15 programs encompassing a variety of behavioral/therapeutic practices. As a Joint Commission Accredited organization, Touchstone provides quality care and support services to our service members.

Touchstone Health Services
Touchstone partners with individuals, families, schools and other service providers to deliver the optimal continuum of health, education and social services, with an emphasis on services that support individuals and families to acquire the skills to live productive and responsible lives. Touchstone focuses on evidence-based programs or best practice approaches to help youth and their families find strategies to reach their behavioral health goals. Touchstone believes in approaching members through a trauma informed lens with an emphasis on building resilience and creating sustainability for youth to maintain their successful outcomes of treatment.

Summary of Services:
•\tIn-home/in-office/virtual Outpatient Treatment
•\tHigh-needs/Targeted/Universal Case Management
•\tSchool Based Services
•\tInfant and Early Childhood Team
•\tMultisystemic Therapy & MST for Problem Sexual Behaviors
•\tAutism Center of Excellence
•\tTherapeutic Groups/Parent Training
•\tIntensive Outpatient Program
•\tRespite
•\tWhatever It Takes
•\tPrevention ServicesCompany DescriptionTouchstone has been an integral part of the community since its creation in 1968, serving families across Maricopa and Pima Counties with over 15 programs encompassing a variety of behavioral/therapeutic practices. As a Joint Commission Accredited organization, Touchstone provides quality care and support services to our service members. \r
\r
Touchstone Health Services \r
Touchstone partners with individuals, families, schools and other service providers to deliver the optimal continuum of health, education and social services, with an emphasis on services that support individuals and families to acquire the skills to live productive and responsible lives. Touchstone focuses on evidence-based programs or best practice approaches to help youth and their families find strategies to reach their behavioral health goals. Touchstone believes in approaching members through a trauma informed lens with an emphasis on building resilience and creating sustainability for youth to maintain their successful outcomes of treatment. \r
\r
Summary of Services:\r
•\tIn-home/in-office/virtual Outpatient Treatment\r
•\tHigh-needs/Targeted/Universal Case Management\r
•\tSchool Based Services\r
•\tInfant and Early Childhood Team\r
•\tMultisystemic Therapy & MST for Problem Sexual Behaviors\r
•\tAutism Center of Excellence\r
•\tTherapeutic Groups/Parent Training\r
•\tIntensive Outpatient Program\r
•\tRespite\r
•\tWhatever It Takes\r
•\tPrevention Services

  • A/R Revenue Cycle Specialist

    7 days ago

    Phoenix, United States NSN Revenue Resources Full time

    Overview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for ambulatory surgery centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and resolution on all outstanding...

  • Head of Sales and Revenue

    6 days ago

    Phoenix, United States Identified Talent Solutions Full time

    Job Title: Head of Sales and Revenue Location: Remote Exciting opportunity for a Head of Sales and Revenue to join a hyper-growth startup that is revolutionizing the cybersecurity landscape. The Head of Sales and Revenue will provide cutting-edge solutions tailored to meet the unique needs of a wide range of B2B clientele. As the company continues to expand...

  • Head of Sales and Revenue

    2 weeks ago

    Phoenix, United States Identified Talent Solutions Full time

    Job DescriptionJob DescriptionJob Title: Head of Sales and RevenueLocation: RemoteExciting opportunity for a Head of Sales and Revenue to join a hyper-growth startup that is revolutionizing the cybersecurity landscape. The Head of Sales and Revenue will provide cutting-edge solutions tailored to meet the unique needs of a wide range of B2B clientele. As the...

  • Operations Specialist

    7 days ago

    Phoenix, United States tango Full time

    **Position**: Operations Specialist** **Department**:Referral Management** **Reports to**: Director, Referral Management** The Operations Specialist is responsible for providing administrative support to the day-to-day operations of the Referral Management team. In partnership with the Referral Management leadership, the Operations Specialist identifies,...

  • Complex Director of Revenue Analysis

    6 days ago

    Phoenix, United States Marriott International, Inc Full time

    **Job Number** 24064668 **Job Category** Revenue Management **Location** Renaissance Phoenix Downtown Hotel, 100 N 1st Street, Phoenix, Arizona, United States VIEW ON MAP **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** Leads Revenue Analysis Managers in executing analysis activities...

  • Lead, Revenue Strategy

    6 days ago

    Phoenix, United States Headway - Design & Development Full time

    About The Role As Headway grows, so do the volume and complexity of the challenges we face. As Lead of Revenue Strategy, you’ll tackle business-critical challenges within our Growth organization. Reporting to the Senior Lead of Revenue Strategy, you will be responsible for diagnosing unfamiliar problems, crafting novel solutions, driving outcomes, and...

  • Manager of Revenue Cycle Management for Intergrated

    21 hours ago

    Phoenix, United States Sanctuary Recovery Centers Full time

    Sanctuary Recovery Centers of Arizona is currently looking for clinically excellent and compassionate professionals, including billing specialists, to serve its clients full time. Sanctuary Recovery Centers of AZ is the premier sober living/recovery home organization in Arizona. We provide sober living for those in need of a structured, program-oriented,...

  • Full Revenue Cycle Billing Specialist

    2 weeks ago

    Phoenix, United States Sanctuary Recovery Centers Full time

    Job DescriptionJob DescriptionSalary: $20.00 - $25.00At Sanctuary Recovery Centers, we understand that the journey to sobriety is a unique and personal experience. That's why we offer a connected network of care, starting with Residential Treatment and continuing through Partial Hospitalization,  Mental Health and Substance Use Disorder Intensive...

  • Full Revenue Cycle Billing Specialist

    6 days ago

    Phoenix, United States Sanctuary Recovery Centers Full time

    Job DescriptionJob DescriptionSalary: $20.00 - $25.00At Sanctuary Recovery Centers, we understand that the journey to sobriety is a unique and personal experience. That's why we offer a connected network of care, starting with Residential Treatment and continuing through Partial Hospitalization,  Mental Health and Substance Use Disorder Intensive...

  • Full Revenue Cycle Billing Specialist

    5 days ago

    Phoenix, United States Sanctuary Recovery Centers Full time

    Job DescriptionJob DescriptionSalary: $20.00 - $25.00At Sanctuary Recovery Centers, we understand that the journey to sobriety is a unique and personal experience. That's why we offer a connected network of care, starting with Residential Treatment and continuing through Partial Hospitalization,  Mental Health and Substance Use Disorder Intensive...

  • Operations Control Specialist

    3 days ago

    Phoenix, United States PHI Air Medical Full time

    **JOB SUMMARY** - Coordinate with Communications Center personnel; Aviation Managers and Base Pilots with requests for PHI air medical staff, when conditions indicate that risk factors or weather place a base or area under risk that must be mitigated. - Coordinate the resolution of operational control issues as they arise. - Coordinate as above when...

  • Marketing Specialist

    6 days ago

    Phoenix, United States Americanna Wellness Full time

    If you are an experienced Digital Marketing Specialist who thrives in a dynamic environment and is ready to drive growth through digital channels, we want to hear from you! If you’re also a Full Stack marketer, we can’t wait to meet you! We are a plant-based wellness startup focused on providing the best nature has to offer. We are looking for a Digital...

  • Advanced Account Operations Specialist

    6 days ago

    Phoenix, United States Assetmark Full time

    Job Description:AssetMark is a leading strategic provider of innovative investment and consulting solutions serving independent financial advisors. We provide investment, relationship, and practice management solutions that advisors use in helping clients achieve wealth, independence, and purpose.The job and what you'll do:The Account Operations Team is...

  • Manager Of Revenue Cycle Management For Intergrated Clinic

    7 days ago

    Phoenix, United States Sanctuary Recovery Centers Full time

    Job DescriptionJob DescriptionSanctuary Recovery Centers of Arizona is currently looking for clinically excellent and compassionate professionals, including billing specialists, to serve its clients full time.Sanctuary Recovery Centers of AZ is the premier sober living/recovery home organization in Arizona. We provide sober living for those in need of a...

  • Finance Operations Specialist

    Found in: Talent US C2 - 7 days ago

    Phoenix, United States DMC Mining Services Full time

    Description DMC Mining Services is a leading provider of mining services and solutions. As one of North America’s premier underground contractors for over 38 years, our comprehensive list of mining services ranges from shaft sinking and raise boring to full mine development and operation. With one of the lowest incident / accident frequency rates in...

  • EMS Specialist

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Phoenix, United States National Grid Renewables Full time

    National Grid Renewables is a leading North American renewable energy company based in Minneapolis, Minnesota, with satellite offices located in the regions where it develops, constructs, and operates renewable energy projects. As a farmer-friendly and community focused company, National Grid Renewables develops projects for corporations and utilities that...

  • Public Utilities Specialist

    Found in: beBee jobs US - 7 days ago

    Phoenix, Arizona, United States Department Of Energy Full time

    Summary This position is part of the WAPA-DSW-Desert Southwest. As a Public Utilities Specialist (Rates), you will be developing, implementing, or preparing power, transmission and ancillary service rates, rate adjustment proceedings, rate designs, project repayment studies, and related forecasts, allocations, strategies, and industry evaluations.This is...

  • Finance Operations Specialist

    7 days ago

    Phoenix, United States CareerBuilder Full time

    DMC Mining Services is a leading provider of mining services and solutions. As one of North Americas premier underground contractors for over 38 years, our comprehensive list of mining services ranges from shaft sinking and raise boring to full mine development and operation. With one of the lowest incident / accident frequency rates in the industry, DMC has...

  • Operations Specialist Lead

    5 days ago

    Phoenix, United States First Citizens Bank Full time

    Overview: This Operations Specialist Lead position provides advanced operational support for the Global Loan Operations Governance team in the execution of daily activities. Facilitates processes and workflows while ensuring compliance with all applicable regulations and policies. Maintains records and/or systems crucial for business operations. Answers...

  • Operations Specialist Lead

    7 days ago

    Phoenix, United States First Citizens Bank Full time

    Overview This Operations Specialist Lead position provides advanced operational support for the Global Loan Operations Governance team in the execution of daily activities. Facilitates processes and workflows while ensuring compliance with all applicable regulations and policies. Maintains records and/or systems crucial for business operations. Answers...