RCM Specialist

2 weeks ago

Deerfield Beach, United States FHE Health Full time
Job DescriptionJob Description

FHEHealth (“FHE”) is a dually accredited (CARF and JOINT) licensed behavioral healthcare institution that delivers quality, medically integrated personalized treatment for First Responders suffering from Behavioral Health Disorders. We specialize in addictive disorders, and other behavioral health diagnoses such as mood disorders, depression, anxiety, and traumatic disorders. We employ a team of highly qualified, compassionate individuals who share in the desire to serve this vulnerable population. We provide innovative treatment by treating not just the mind and the behaviors, but by treating the BRAIN itself through our cutting-edge neuro-rehabilitative services.

FHE Health boasts a “Best in Class” state-of-the-art inpatient treatment facilities, outpatient and sober living campus’ that promotes a strong sense of community while also providing patients with ongoing access to our multi-disciplinary team and services. We have been voted as “Top Work Places” eight years in a row.

What Are We Looking for?

We are looking for a part time Revenue Cycle Payment Poster. Must be experienced in Revenue Cycle Management Operations. Reports to the Director of RCM.

Job Responsibilities:

  • Posts Payment and adjustments to patient accounts from all insurance payers and all types of payments
  • Posts all patient payments received
  • Reviews all remittance advices for accuracy to identify errors or questionable data
  • Researches and resolves unapplied and/or unidentified cash receipts.
  • Reconciles payments and shortages for all batches
  • completes daily deposit and reconciliations
  • Investigates all insurance recoupments to determine if they are correct or need to be appealed.
  • Reviews all accounts with negative balances to determine if a refund is due to the patient or insurance carrier
  • Runs electronic deposit reports and processes payments, adjustments, and rejections, providing reconciliation and or/balancing of same
  • posts rejections by insurance companies
  • Manges daily payment transaction registers
  • Processes all approved adjustments.
  • Actively communicates with management of an identified payment trends.

Required qualifications:

  • Minimum of 1+ year of experience in billing, collections, posting preferably for addictions/ behavioral health treatment center preferred.
  • Knowledge of insurance guideline
  • Competent use of computer systems, software, and 10 key calculators
  • Familiarity with CPT, IDC-10 Coding, and ASAM criteria
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payment, including communicating with patients and family members of diverse ages and backgrounds.

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