Welcome to Foresight Mental Health. We're so glad you're considering joining our team.
At Foresight Mental Health, we are committed to supporting our team of diverse providers and offering compassionate care to our clients! Join us in this new year to continue our mission of improving access to high-quality mental health care with exciting updates for 2024.
The RCM Specialist is responsible for the key revenue cycle generation processes that have an impact on the company's cash flow. You will verify compliance and quality of all claims before submission, perform follow up on all rejected and denied claims ensuring timely correction and resubmission. Ensure timely and proper payment from all payers. This position will handle sending bills to patients and assisting other departments with any RCM inquiry.
As an RCM Specialist, you will:

• Perform follow up on outstanding claims
• Identify issues resulting in non-payment of claims due to internal/external issues and rectify such issues in a timely manner
• Maintain a high level of integrity and confidentiality of medical information.
• Provide excellent customer service to patients and providers as needed.
• Maintain knowledge of ICD9/ICD10 diagnostic as well as CPT/HCPC procedural coding.
• Maintain thorough knowledge of insurance carriers and the claim guidelines/requirements.
• Relays updated information regarding state policy changes to the department.
• Handle correspondence from insurance companies including denials, information requests or refund requests.
• Correcting errors on a daily basis.
• Communicate with other operations team members and the RCM Team to resolve member billing issues.
• Update and maintain clients' insurance information.
• Escalate more complex billing issues to an RCM Leader when necessary.
• All other duties or special projects as assigned.

What We're Looking For:

• This role requires you to have a private workspace that allows you to adhere to HIPAA regulations while communicating with members.
• 5 years experience with Revenue Cycle Management/Medical Billing preferred.
• Excellent oral and written communication skills in adherence with HIPAA Privacy laws.
• Exceptional customer service and critical thinking skills.
• Athena experience is a plus.
• Ability to work in a fast-paced environment.
• Medical office & HIPAA laws experience preferred.

What We Offer:

• A full-time, non-exempt position with a competitive hourly compensation of $20.00/hr
• Comprehensive medical, dental and vision coverage
• 2 weeks starting Paid time off "PTO" that grows with tenure
• $50,000 employer provided basic life insurance
• Employer provided short term & long term disability, up to 60% of your annual salary
• Pet insurance
• Student loan counseling services
• Employee Assistance Program (EAP)

Thanks for your interest in working with Foresight
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Foresight is an equal opportunity employer. We're committed to providing reasonable accommodations and will work with you to meet your needs. If you're a person with a disability and require assistance during the application process, please don't hesitate to reach out. We celebrate our inclusive work environment and welcome members of all backgrounds and perspectives.