Lead Reimbursement Specialist

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $66.6k - $82.3k / year

⏰ Full Time

🟠 Senior

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Telecare Corporation

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1965

🧘 Wellness

🌍 Social Impact

Wellness • Social Impact

Telecare Corporation is a provider of behavioral health and supportive services focused on people with serious mental illness. The organization delivers clinical programs including crisis and emergency support, telepsychiatry, physician staffing, recovery-oriented residential and community-based services, and partnerships for housing and social supports. Telecare emphasizes recovery, respect, and outcomes, operates multiple program locations, and engages in community advocacy, workforce recruitment, and reporting on program results.

📋 Description

• Responsible for all revenue cycle functions for assigned fee for service/third party facilities • Serve as the main help contact for the Reimbursement Specialists • Provide support during contract/payer changes • Train new staff and review work of new staff • Keep up to date on all applicable CPT and other coding changes • Communicate changes to affected parties • Perform billing and collections activities • Ensure timely and accurate billing including verifying census, financial eligibility, and authorizations • Post payments and identify under/overpayments • Collaborate with Billing Manager in strategic planning activities • Mentor new staff in the billing group

🎯 Requirements

• Six (6) years of full cycle revenue cycle experience • Extensive knowledge of Medicare, Medi-Cal/Medicaid and commercial insurances • A high level of PC literacy, especially in Excel and Word • Prior experience training staff • Exceptional communication skills • Critical thinking and data validation skills • Ability to identify and escalate issues to management • Understanding of accounting principles and the ability to balance detailed accounts to the general ledger • Ability to operate independently and handle multiple tasks simultaneously • Demonstrated capacity to work with sophisticated automated billing systems • Must be at least 18 years of age

🏖️ Benefits

• Health insurance • Retirement plan • Paid time off • Professional development opportunities