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

🤝 Non-profit

Wellness • Social Impact • Non-profit

Telecare Corporation is a mission-driven behavioral health services organization that provides comprehensive care for people with serious mental illness, including crisis and emergency support, telepsychiatry, physician staffing, community-based programs, and housing partnerships. With a recovery-focused clinical approach, Telecare operates multiple program locations and offers services aimed at engaging individuals with complex needs to support their health, recovery, and long-term stability.

📋 Description

• Responsible for all revenue cycle functions for assigned fee for service/third party facilities, including insurance verification, census, authorization management, billing, collections, cash posting, collections, denials, appeals and write offs/refunds. • Serves as the main help contact for the Reimbursement Specialists in their group. • Including providing support during contract/payer changes, trains new staff and reviews work of new staff. • Keeps up to date on all applicable CPT and other coding changes, fee for service and/or contract billing rates and communicates those changes to all affected parties at Telecare. • There may be some travel to locations where Telecare does business or plans to do business.

🎯 Requirements

• Six (6) years of full cycle revenue cycle experience and 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, using exceptional communication skills • Critical thinking and data validation skills are mandatory • Ability to identify and escalate issues and conflicts to management timely • Understanding of accounting principles and the ability to balance detailed accounts to the general ledger • The ability to operate independently, handle multiple tasks simultaneously and complete assignments with minimal supervision. • Demonstrated capacity to work with sophisticated automated billing systems • Must be at least 18 years of age

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Professional development opportunities