Revenue Cycle Specialist

A TEAM OF DIFFERENCE MAKERS:

At Author Health, we are dedicated to a field-based, home-based care model, ensuring we meet our members right where they are, in their homes, and their communities. We are seeking professionals who are willing to go the extra mile to connect with our members in a high-tech environment where we are there at all times assisting the members. We value non-judgmental, respectful, and empathetic interactions, aiming to meet the unique needs of each member. Immerse yourself in the realm of specialized care at Author Health. Our primary mission is to deliver outstanding care for seniors battling with serious mental illnesses (SMIs) and substance use disorders (SUDs). We are committed to making a significant impact in the lives of our most vulnerable population. With our advanced technology, our members can enjoy a stress-free experience as we provide all the necessary services. Join us in our mission to revolutionize healthcare.

As a Revenue Cycle Specialist, you will be responsible for revenue cycle management (RCM) tasks that include but not limited to manual charge entry, claims submission, A/R follow-up, file appeals/disputes, complete medical records request from payers, payment posting, collections, build relationships with partners that work with Author Health Professionals, PC on coding and revenue cycle tasks, and other revenue cycle tasks that will improve cashflow and meet the goals of the practice.

WHAT IS YOUR SUPERPOWER?

• Daily task of reviewing coded visit notes and submission to the PMS.
• Review and complete the tasks in Candid assigned to Author Health Professionals, PC.
• A/R follow-up, appeals, and claim disputes assigned in Candid to AH.
• Review recoupment requests in Availity and act accordingly to resolve.
• Import remittances received in Candid and correct posting issues identified on each check.
• Monitor pre- and post- payment medical records requests in Availity and complete the requests.
• Serves as the subject matter expert and "go to" person for all coding, billing and collections processes.
  
  

WHAT WE ARE SEEKING:

Qualifications

• Thorough understanding of medical billing, collections and payment posting, revenue cycle,third-party payers, Medicare.
• Well versed in CPT and ICD10 codes and procedural modifiers, claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes.
• Proficient with EMR software, Excel, Google sheets, and clearinghouse portals.
• Minimum 3-5 years with professional billing at a medical practice (non-facility based).
• Same level experience with the claims processing from charge entry to the closure of claim with payment which includes billing, collections, denials and appeals.
• Experience with Electronic Medical Record (EMR) and practice management is required.
• Ability to deal with patients and staff with tact and diplomacy, capacity to deal with severely ill patients.
  
  

Additional Skills and Attributes

• Certified Professional Biller, Certified Medical Billing Specialist, or Certified Medical Reimbursement Specialists.
• Work experience will be considered in place of certification.
• Mental Health/Behavioral Health billing experience
  

WHAT WE OFFER:

• Retirement savings plan (401k) Plan up to 3.5% company match
• Low cost benefits package for employee and dependents ( medical/ dental/ vision/ STD/ Life Insurance)
• Paid vacation
• Paid sick leave
• 9 paid holidays throughout the year with (2) additional flex holidays .. 11 in total!
• Performance-based bonuses
• and more!
  
  

NEXT STEPS:

• Submit an application
• Upload an updated resume
• Share LinkedIn profile and/or cover letter
  
  

Author Health LLC is committed to a diverse and inclusive workplace. It is the company's policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual's race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. The company's policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. If you need assistance or a reasonable accommodation during the application process because of a disability, it is available upon request. The company is pleased to provide such assistance and no applicant will be penalized as a result of such a request. In accordance with applicable legal requirements such as the San Francisco Fair Chance Ordinance Newco will consider for employment qualified applicants with arrest and conviction records.

Salary range for this opening

Pay Ranges

$55,000—$65,000 USD