Revenue Cycle Specialist

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Perimeter Healthcare - Integrated Behavioral Health

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201 - 500 employees

🧘 Wellness

Healthcare • Mental Health • Wellness

Perimeter Healthcare is a behavioral healthcare company committed to meeting mental health needs across various age groups, including children, adolescents, adults, and geriatric patients. The organization focuses on patient-centered care, providing high-quality treatment in a compassionate environment. With a team of dedicated clinical staff, Perimeter Healthcare offers a range of inpatient and outpatient programs aimed at helping individuals heal and regain control of their lives. Their goal is to be the provider of choice in every community they serve by transforming lives through effective mental health treatment.

📋 Description

• Submits monthly claims and invoices along with discharge claims within two business days of creation. • Reviews Payor Aging and works accounts accordingly for multiple sites within a Central Business Office Environment. • Ensures accurate, complete, and timely account follow-up. Documents accounts within Perimeter guidelines. • Resolves claim processing issues in a timely manner, escalates problem claims to their supervisor. • Resolves credit balances in a timely manner. • Reviews Remittance Advices daily and prioritizes Zero Pay accounts for immediate resolution. • Works directly with Payor Plans/Funding Sources to resolve ongoing issues. • Communicates Payor updates to Revenue Cycle Leadership in a timely manner. • Reviews Facility Correspondence in a timely manner. • Reviews new Admissions for Payor Plan accuracy. • Prepares write-off requests based on review of balances, and submits to leadership for review and approval • Reviews Denial Log and coordinates Denial write-offs with Facility UM Director. • Familiar with billing requirements for payor plans...not limited to Medicaid and Medicare.

🎯 Requirements

• Must have a minimum of a high school diploma or GED, BA Preferred • Preferred minimum of three years’ experience in patient account billing and collection, preferably with Psychiatric Hospitals and/or Psychiatric Residential Treatment facilities. • Knowledgeable of third-party payors • Attention to detail and problem solving • Highly proficient in working through complicated payer denials • Excellent written and verbal communication skills • Strong organizational skills • Strong ability to use sound judgement and take initiative to projects • Displays excellent service excellence to everyone

🏖️ Benefits

• Service excellence and fulfilling work environment • 401(k) plan and company match • Health Insurance • Dental Insurance • Vision Insurance • Life Insurance • Paid Time Off • Supplemental Insurance Plans Available