Revenue Cycle Manager for LGBTQ+ Addiction Treatment Center

At Inspire Recovery, we recognize the LGBTQ people’s gifts, their gender identities, and the systemic oppression that sometimes drives them to use substances in the first place.

Inspire Recovery isn’t just inclusive— it’s queer and trans-led. We are a transforming, passionate, life changing company on a mission to help the LGBTQIA community have an authentic experience while recovering from drugs and alcohol. We celebrate our community’s strengths and normalize their struggles. Our trauma-informed approach includes trauma-informed LGBTQIA affirming care, destigmatizing sex work, and de-escalating folks’ mental health crisis rather than hospitalizing them.

If this sounds like the transformative recovery community you want to be a part of, we want to hear from you.

The Revenue Cycle Manager is a key member and contributor to the success of our company. This “attention to detail” position provides in-depth support for all insurance related duties of the office. This position is responsible for the coordination and processing of insurance payments, verifications, all billing, all collections, coordination of benefits, and ongoing communications with insurance carriers of all three of our locations. Great interpersonal skills are required to build rapport with the patients, staff and insurance carriers. The Revenue Cycle Manager helps accomplish company goals by providing resolution and service to outstanding receivable accounts. The ideal candidate has the passion and drive, intelligence and integrity, high attention to detail, professionalism and excellent follow skills to increase revenue for our customers.

The position requires a thorough knowledge of the healthcare industry and an effective strategy working with insurance carriers to get claims paid.

Responsibilities:

• Processes all insurance billings for patient services for each treatment location - West Palm Beach, Florida; Homestead, Florida; Long Beach, California.
• Responsible for insurance verifications and accurate communications to staff and patients regarding insurance coverage.
• Coordinates and process payments from insurance carriers and troubleshoots any issues related to these payments.
• Ensures coordination of benefits are accurate and considered as part of the financial planning.
• Review and appeal unpaid and denied claims
• Managing accounts receivable reports
• Review daily and weekly reports to ensure accuracy (locate and correct errors for re-submission of claims).
• Serves as a liaison between insurance carriers, staff, and patients to resolve any concerns and maintain a positive working relationship.
• Ensures all insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practice.
• Achieves revenue goals by effectively managing collections and receivables, specialty referral process, insurance billing, and miscellaneous operations expenses
• Manages and assists designated office team members with appropriate payment and insurance processes
• Makes definite financial agreements with each patient in accordance with office policy
• Provides claim resolution for assigned accounts to increase collections and reduce delinquencies
• Analyzes Explanation of Benefits and Remittance Advices and ensures claims processed according to members plans
• Identifies denial reasons, and follows appeal process to get claims paid
• Performs high volume collection phone calls to insurance companies
• Accesses payer online resources to expedite claims follow up and ensure claims are on file and processing
• Follows EOB protocol, retrieve documentation to ensure paid accounts are closed
• Accesses billing software to analyze rejection reasons and communicate findings
• Communicates billing/coding errors and completes resubmission request
• Identifies and reports changes and trends in carrier guidelines and reimbursement patterns
• Executes and delivers special projects from management and other duties as assigned
• Corresponds with third party rate negotiation companies to expedite claim process
• Accesses EMR, retrieves medical records and follows protocol
• Adheres to documentation protocol, notates accounts and reports appropriately
• Organizes daily and weekly production/action reports in file share
• Participates in companywide and departmental meetings
• Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals
• Understands and complies with all HIPAA rules and regulations
• Understands how to bill for the difference with both Aetna and Cigna
• Other duties as required.

Minimum Qualifications

• 1-2 years of medical insurance/billing and collections experience is required.
• Knowledge of insurance guidelines
• Accuracy and organization are a must
• Familiarity with financial plans, PPO, HMO
• Strong capability with Google Suite, ie google sheets, docs, drive, etc...

Inspire Recovery is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Inspire Recovery is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact Human Resources at (561) 899-6088 ext. 105

Job Type: Contract

Pay: $16.00 - $24.00 per hour

Benefits:

• Flexible schedule

People with a criminal record are encouraged to apply

Experience:

• LGBTQIA : 1 year (Preferred)
• Addiction Medical Billing & Collections: 1 year (Required)

Work Location: In person

Salary : $16 - $24