Revenue Cycle Specialist
2 weeks ago
Job Category: Z&S Management Chatsworth Support Center
Requisition Number: MEDIC003108
Position Type: Full-Time
Work Environment: On-site
Company Overview: At 360 Behavioral Health, we are dedicated to delivering outstanding care for individuals affected by autism and other developmental challenges. With over thirty years of experience, we are recognized as one of the foremost authorities in Applied Behavior Analysis (ABA) therapy. Our commitment to excellence has earned us accolades as one of the top ABA Therapy Providers and a certified Best Place To Work.
Role Overview: The Revenue Cycle Specialist is essential in overseeing the financial processes, ensuring precise billing and prompt reimbursement. This role is vital for maintaining the organization's financial stability through efficient claims management, effective communication, and problem resolution.
Key Responsibilities:
- Preparing, reviewing, and submitting claims using billing software (both electronic and paper formats).
- Collaborating with various departments to rectify information discrepancies (e.g., policy numbers, authorization numbers, diagnosis codes).
- Verifying service code rates for accuracy and compliance with regulations.
- Identifying and billing secondary or tertiary insurance providers.
- Reviewing accounts for follow-up with insurance or patients.
- Addressing inquiries from patients or insurance companies regarding assigned accounts.
- Ensuring patient bills are accurate and complete, gathering any missing information.
- Assisting with administrative tasks as required.
- Providing support to team members and other departments as necessary.
- Completing all assigned duties and tasks as directed by leadership.
Qualifications:
- A high school diploma is required.
- An associate's degree in business administration, accounting, or healthcare administration is preferred.
- Understanding of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer systems.
- Familiarity with CPT and ICD-10 coding.
Preferred Skills:
- Proficient in using computer systems, software, and 10-key calculators.
- Strong communication skills for resolving issues with insurance payers.
- Customer service abilities for engaging with patients regarding claims and payments.
- Ability to work collaboratively in a team environment, prioritize tasks, delegate responsibilities, and manage conflicts.
- Problem-solving skills to investigate and resolve discrepancies, denials, appeals, and collections.
- Knowledge of accounting and bookkeeping practices.
- Familiarity with medical terminology relevant to medical claims.
- Commitment to maintaining patient confidentiality in accordance with HIPAA regulations.
- Capability to multitask effectively.
What We Offer:
- Competitive compensation ($23.00-$25.00/hour).
- Student loan repayment assistance for eligible positions.
- Bonus programs for qualifying roles.
- Opportunities for career development and advancement.
- A vibrant and enjoyable company culture.
- Comprehensive health, vision, and dental plans for full-time employees.
- 401(K) retirement savings plan.
- Mileage and phone reimbursement.
- And much more.
360 Behavioral Health is an equal opportunity employer, committed to providing reasonable accommodations for individuals with disabilities throughout the employment process.
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