Revenue Cycle Specialist

1 week ago

Columbus, Ohio, United States Lighthouse Behavioral Health Solutions Full time

Lighthouse Behavioral Health Solutions (LBHS) provides individual, outpatient, intensive outpatient, partial hospitalization, residential, psychiatric services, and medication assisted treatment for mental health and substance abuse treatment needs. We are a treatment facility that prides itself in a welcoming and compassionate approach to substance use and mental health treatment. We believe our clients can achieve recovery and be valued community members through positive engagement and meaningful participation in treatment.

Our Goal:

Our comprehensive approach to addictions treatment provides a continuum of care that begins with asking for help and continues through to ongoing peer support. In addition to our state-of-the-art treatment facilities and peer support centers across Central Ohio, we work to remove barriers and promote access to care through our integrative approach and evidence-based clinical treatment.

Join our exciting and fast-growing company in which you will have an impact on improving people's lives Lighthouse Behavioral Health Solutions (LBHS) is looking for quality candidates who are pursuing professional growth in a supportive environment and can thrive in a collaborative team-focused culture.

  • 9 Paid Holidays
  • Paid Time Off
  • Sick Time Off
  • Paid continuing education opportunities
  • Paid parental leave
  • Medical/Dental/Vision
  • 401(k)
  • Life Insurance
  • STAR/HRSA/Ohio student loan forgiveness programs (for applicable roles and locations)

Position: Revenue Cycle Specialist 

Job Summary: The Revenue Cycle Specialist supports revenue cycle processes within our organization by working the assigned claims, recognizing patterns, escalating issues, and accelerating claim payment.

Duties and Responsibilities:

Duties include, but are not limited to:

  • Review and resolve insurance denials to obtain final adjudication.
  • Analyze accounts receivable reports to follow up on unpaid claims.
  • Submit required documentation to insurance payers as requested.
  • Follow up with insurance payors on incorrectly paid claims.
  • Correct demographic and payor information and submit it to payors.
  • Manage reports on recognized payor patterns/projects.
  • Escalate emergent and systemic issues to supervisor.
  • Ability to work in fast paced environment.
  • Additional responsibilities as assigned.

Required Experience/Certifications:

  • Associates Degree in Health Care Management or related field or equivalent experience.
  • 3 years of relevant experience with claims processing and Electronic Medical Records
  • Valid State of Ohio Driver's License and insurance
  • Must pass BCI check, all Corporate Compliance checks, and employment drug screen

Schedule: Monday - Friday 8:30a-5pm

Location: 140 E Town St Columbus, OH remote option is available)

Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law.

LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer.

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