Job Description
Job Description
FHE Health is a healthcare institution that delivers quality, medically integrated personalized treatment for those suffering from Behavioral Health Disorders. We are in Deerfield Beach, Florida, near Fort Lauderdale. We are proud to ethically serve the South Florida community as well as the nation with our healthcare services. We specialize in addictive disorders and other behavioral health disorders such as depression, anxiety, and traumatic disorders. We employ a team of highly qualified, compassionate individuals who share in the desire to serve this vulnerable population. We provide innovative treatment by treating not just the mind and the behaviors, but by treating the BRAIN itself through our cutting-edge neuro-rehabilitative services.
What Are We Looking for?
We are looking for an RCM Collections Specialist. Must be experienced in Physicians Group Collections. Reports to the Director of IRCM.
Benefits of the RCM Collections Specialist
As a full time, RCM Collections Specialist you will be offered the following benefit options :
- Medical
- Dental
- Vision
- Supplemental Life
- Disability
- 401k
- Personal PTO
- Vacation Time
- Employee Assistance Program
Requirements of the RCM Collections Specialist :
Under the direction of the Director of IRCM, the RCM Collections Specialist will be responsible for collections under the Physicians Group.
This position is ideal for candidates seeking a full time-time position. M-F
Qualifications / Skills
High School or GED DiplomaCurrent CPR Certification or must be obtainedCrisis Prevention Intervention (CPI) Training or must be obtainedMinimum of 2 years of experience in healthcare billing, collections for addiction / behavioral health treatment centerKnowledge of insurance guidelinesCompetent use of computer systems, software, and 10 key calculators.Familiarity with CPT, ICD-10 Coding, and ASAM criteriaEffective communication abilities for phone contacts with insurance payers to resolve issuesCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgroundsAbility to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashionProblem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this processEssential Job Function of the RCM Collections Specialist
Prepare, key, and review claims prior to reconciliationProcesses claim corrections identified from the reconciliationExperience with coding, CPT / HCPC, Revenue, and Diagnosis codesExperience with 1500 HCFA and UB04 claim formsPreparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processingThrough billing software, review claim rejections and correct errors, and rebill claimsFollowing up on unpaid claims within the standard collection cycle timeframeChecking each insurance payment for accuracy and compliance with contract and usual and customary chargesCalling insurance companies regarding any discrepancy in payments and underpaymentsCalling insurance companies for payment on open / unpaid claimsIdentifying and billing secondary or tertiary insurancesReviewing accounts with balances to identify next steps, including balances needing to be set as “collections” for balance due patientResearching and appealing denied claimsAnswering patient or insurance telephone inquiries pertaining to assigned accountsTransferring Patient collection calls to the designated department
