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Revenue Cycle Specialist
1 month ago
Revenue Cycle Specialist
We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional growth.
Pinnacle Treatment Centers is a growing leader in addiction treatment services. We provide care across the nation touching the lives of more than 30,000 patients daily.
Our mission is to remove all barriers to recovery and transform individual, families, and communities with treatment that works.
Our employees believe we are creating a better world where lives and communities are made whole again through comprehensive treatment.
As the Revenue Cycle Specialist, your primarily responsible is for patient revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Cash Posting and Denials Management.
Requirements:
- High School Diploma or equivalent
- Associates or Certification(s) plus
- Minimum 2 years Revenue Cycle experience in a healthcare setting
- Patient Accounting systems experience
Responsibilities:
- Accounts Receivable
- Resolve outstanding payer balances for assigned financial class by monitoring Accounts Receivable reports
- Follow-up on outstanding claims and submit appropriate documents for payment when necessary
- Denial Analysis/Management
- Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials working directly with the payers and/or clinics. Follow through on claim denials and rejections on timely basis
- Claim Scrubbing/Submission
- Assists with third party billing process through the scrubbing, preparation, and submission of accurate and complete claims in a timely manner.
- ERA Processing/Cash Posting
- Preparation and posting of daily cash receipts, Completion of daily transaction logs. Scanning, verifying, and posting of remittances. Identification of unposted cash. Printing of posting reports for balancing.
- Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
- Knowledge of Patient Accounting systems
- Maintains strict confidentiality of patients’ medical records and adherence to all HIPAA policies and regulations.
Benefits:
- 18 days PTO (Paid Time Off)
- 401k with company match
- Company sponsored ongoing training and certification opportunities.
- Full comprehensive benefits package including medical, dental, vision, short term disability, long term disability and accident insurance.
- Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP)
- Discounted tuition and scholarships through Capella University
Join our team. Join our mission.
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