Clinical Revenue Cycle Specialist

1 week ago


Media, Pennsylvania, United States MVP Recovery Full time
About MVP RecoveryAt MVP Recovery, we are dedicated to providing exceptional care and support to individuals seeking recovery from substance use and mental health disorders. Our comprehensive approach focuses on personalized care and long-term success for our clients.

Job OpportunityWe are seeking an Admissions & Utilization Review Specialist to join our team. As a key member of our revenue cycle management team, you will play a crucial role in ensuring the financial health of our organization while supporting our mission. Your responsibilities will include accurately and efficiently processing medical claims, verifying insurance coverage, and resolving billing issues. You will also collaborate closely with our clinical and administrative teams to optimize revenue cycle management and maintain compliance with regulatory requirements.

Responsibilities
  • • Review claims to insurance companies and government payers • Verify insurance eligibility and benefits for patients• Follow up on outstanding claims and denials to ensure timely payment • Resolve billing discrepancies and address patient inquiries regarding billing issues • Collaborate with clinical and administrative staff to ensure accurate documentation and coding • Stay up-to-date on billing regulations and compliance requirements • Navigation of co-pays for commercial insurances • Obtaining Non-par agreements • Utilization Review • Obtaining authorizations from payer sources

Qualifications
  • • Proven experience as a medical billing specialist, preferably in behavioral health or healthcare setting • Strong knowledge of medical billing procedures and coding (CPT, ICD-10) • Familiarity with insurance guidelines and reimbursement processes • Excellent attention to detail and accuracy • Effective communication and problem-solving skills • Ability to work independently and as part of a team • Proficiency in medical billing software and Microsoft Office suite

BenefitsCompetitive salary commensurate with experience, comprehensive benefits package including health, dental, and vision insurance, tuition reimbursement, retirement plan, paid time off and holidays, opportunities for professional development and advancement, and a supportive and collaborative work environment dedicated to making a positive impact on the lives of others.

$60,000 - $80,000 per year, depending on experience.

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