Revenue Cycle Specialist

1 month ago

Franklin, United States Acadia Healthcare Full time

Overview:

Now Hiring: Revenue Cycle Specialist

Franklin, TN - Hybrid

Our Passion:

We exist to Lead Care With Light. We need passionate, talented people working together who share our desire to provide the best quality care to our patients and lead the fight against the opioid epidemic. We are prepared to treat the entire disease, not just a piece of it.

Our Team:

Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 160+ outpatient addiction recovery centers nationwide, serving patients undergoing treatment for opioid use disorder. As the leading provider of medication-assisted treatment in the nation, we care for more than 70,000 patients daily. Our mission is to deliver comprehensive care, combining therapies with safe and effective medications. Our team stands at the forefront of the battle against the opioid epidemic.

Our Benefits:

  • Medical, dental, and vision insurance
  • Acadia Healthcare 401(k) plan
  • Paid vacation and sick time
  • Opportunity for growth that is second to none in the industry

Your Job as a Revenue Cycle Specialist:

Responsible for daily accounts receivable collections and billing. To assist with increasing collections, reducing accounts receivable days, and reducing bad debt. AR will be worked through Denial Management in Waystar (Clearinghouse) as well as a spreadsheet provided by the Revenue Cycle Manager or Regional Business Office Director.

Full Time Hours:

  • Monday - Friday (Flexible Start Time)
  • Tuesday and Thursday in office
  • Monday, Wednesday, Friday remote

Your Responsibilities as a Revenue Cycle Specialist:

  • Responsible for the timely verification of insurance benefits provided via websites and/or calling the payor.
  • Responsible for updating patient Billing Episodes and crediting account, as appropriate.
  • Obtain precertification and authorizations for services being rendered
  • Review and resolves prior authorization/precertification/referral issues that are not valid and contacts insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial.
  • Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed.
  • Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly.
  • Clinic Emails responsible for managing clinic emails throughout the day (i.e., re-verification requests, balance inquiry, etc.). All clinic emails must be responded to by close of business daily.
  • Identify and forward potential reimbursement problems to Revenue Cycle Manager.
  • Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations and eligibility.
  • Responsible for billing all patient claims in a timely manner (weekly billing, secondary and out-of-network plans).
  • Review claims issues make corrections as needed and rebill. Utilize claims clearinghouse to review and correct claims and to resubmit electronically when available.
  • Responsible for evaluating bill cycles and changing/updating when necessary.
  • Responsible for printing daily billing reports both electronic and paper claims. Monitor validation percent.
  • Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and Rejected claims due to eligibility, coordination of care and authorization as part of accounts receivable.
  • Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
  • Call and status outstanding claims with third party payors.
  • Review explanation of benefits to ascertain that claim processed and paid correctly.
  • Document account follow-up in Waystar (clearinghouse).
  • Identify trends and work with the Revenue Cycle Manager for resolution.
  • Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
  • Weekly reporting to RBOD an overview of the week and participate in AR meetings.


Qualifications:

Your Education & Qualifications:

  • High school diploma or GED equivalent; prefer some college or technical school coursework.
  • Prefer 2+ years of healthcare billing/AR experience
  • Healthcare payor claims follow-up or accounts receivable experience required
  • Healthcare background with payor appeals experience.

Your Skills:

  • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
  • Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
  • Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
  • Self-motivated with strong organizational skills and superior attention to detail.
  • Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individuals characteristics protected by applicable state, federal and local laws.

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