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Revenue Cycle Specialist I

1 month ago

Dayton, Ohio, United States Woodhaven Residential Treatment Center Full time
Job Summary

We are seeking a detail-oriented and analytical Revenue Cycle Specialist to join our Financial Department at Woodhaven Residential Treatment Center. As a key member of our team, you will play a crucial role in managing billing operations and ensuring timely claim resolutions.

Key Responsibilities
  • Review and analyze denied insurance claims to identify reasons for denial.
  • Prepare and submit appeals, including necessary supporting documentation.
  • Investigate claims without payer response to ensure timely resolution.
  • Research Ohio Medicaid rules, payer contracts, and billing guidelines to resolve disputes.
  • Collaborate with the billing team on special projects and assist with claim escalation.
  • Ensure accuracy and timeliness in reporting claim denials and following up with insurance providers.
Requirements
  • Education: High school diploma or GED required.
  • Experience: 1-2 years of experience in medical billing, claims processing, or a similar field (experience in Ohio Medicaid Behavioral Health billing preferred).
  • Technical Skills: Proficiency in EHR/RCM software and Microsoft Office (Excel, Word, Outlook).
  • Certification: CPR certification required (Medical Billing and Coding certification preferred).
What We Offer
  • Competitive Compensation and Benefits: Health, Dental, Vision, Life Insurance, Long-Term Disability (LTD), Short-Term Disability (STD), 401(k) with company match, PTO, Flexible Schedule, Employee Assistance Program (EAP), and a Student Loan Repayment Plan of up to $250,000.
  • Professional Growth: Opportunities for tuition reimbursement, license renewal support, and continuing education. Clear career advancement paths within the financial department.
  • Flexible Work Arrangements: Flexible scheduling options to support work-life balance, including hybrid or remote work after training.
  • Inclusive Culture: We are committed to diversity and fostering an inclusive work environment.
  • Referral Bonus Program: Earn a referral bonus of $250 to $500 for bringing qualified candidates to our team.