Revenue Cycle Billing Specialist

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Job Type

Full-time

Description

Odyssey House is seeking a Full-Time Billing Specialist to join our Accounting Team!

Summary: Odyssey House's Mission is "Empowering people to heal and build better lives." We are dedicated to helping individuals and families reclaim their lives through effective substance use treatment, prevention, and mental health services. Our programs address education, job skills, healthcare, sober housing, behavioral management, and aftercare support to ensure lifelong success. We are proud to be the largest treatment provider in Utah with the most innovative programs available. ‘We Are Recovery,’ and we mean it with all of our hearts.

Location: Salt Lake City

Compensation: $40,000

Full-Time Benefits

• $9k per year tuition eligible
• Access to 24/7 EAP program (Employee Assistance Program) for Mental Health support and more!
• Opportunities for paid continuing education/training
• Monthly incentives and awards
• Flexible scheduling
• Casual dress and atmosphere
• Opportunities for bonuses, awards, raises, and promotions
• Incredible health insurance (medical, dental, vision, FSA, long and short-term disability)
• Immediate eligibility to participate in our 403(b)-retirement plan, Employer 100% match up to 5% after 1 year
• 35 paid days off (additional PTO accrual after 1 year)
• Stay well! If you have sick time left over at the end of the year, we will convert 1/2 of the remainder to vacation
• EXTRA time off and gift packages for PT and FT staff that stay more than 90 days!
• Sabbatical Program - where we pay you to take a vacation after 5 years of service!
• On-Demand Pay - Get a portion of your paycheck early for hours already worked! (conditions apply)
• UTA free passes available for your work commute
  
  

Overview: The Revenue Cycle Billing Specialist will be responsible for overseeing the billing processes specific to medical, mental health, and substance abuse claims. This role minimizes denial rates and ensures accurate, timely submissions to payers. The ideal candidate will possess a strong understanding of the revenue cycle, familiarity with coding and billing guidelines, and a commitment to optimizing revenue while maintaining compliance with regulations.

Key Responsibilities

Claims Submission:

• Accurately prepare and submit claims for services to insurance payers using appropriate coding and billing guidelines.
• Ensure that all claims are submitted timely and follow payer-specific requirements to decrease the likelihood of denials.
  
  

Denial Prevention And Management

• Monitor billing processes closely to identify potential issues that could lead to denial claims.
• Conduct thorough audits of claims prior to submission to ensure compliance with all coding and billing regulations.
• Work to achieve minimal denial rates by implementing best practices in billing, coding, and documentation.
  
  

Collaboration And Communication

• Collaborate with clinical staff to gather necessary documentation and ensure accurate coding for various services.
• Maintain effective communication with payers to clarify billing discrepancies and resolve issues proactively.
  
  

Accounts Receivable Management

• Track and manage accounts receivable, ensuring follow-up on unpaid claims within established timelines.
• Address and resolve any inquiries from insurance companies regarding billing statements or claim statuses.
  
  

Reporting And Analysis

• Analyze trends in denials and billing issues, providing recommendations for process improvements to enhance revenue cycle efficiency.
  
  

Education And Training

• Stay updated on changes in billing practices, regulations, and payer policies specific to medical, mental health, and substance abuse claims.
• Participate in training initiatives to continually improve knowledge and skills related to coding, billing, and revenue cycle management.
  
  

Compliance Assurance

• Ensure compliance with all relevant healthcare regulations, including HIPAA, state laws, and payer policies, to maintain the integrity of patient information and billing processes.
  
  

Qualifications

• Proven experience in healthcare billing, particularly in medical, mental health, and substance abuse claims management.
• Strong knowledge of CPT, ICD-10, and HCPCS coding as they relate to mental health and substance abuse services.
• Familiarity with revenue cycle software and electronic health record (EHR) systems.
• Excellent analytical skills and attention to detail to minimize errors and denials.
• Strong communication and interpersonal skills to facilitate collaboration with various stakeholders.
• Ability to manage multiple tasks efficiently in a dynamic healthcare environment.
  
  

Work Environment

• This position may require working in an office setting during standard business hours, with potential opportunities for remote work based on company policy.
  
  

Candidate Qualities

• Passion for Community Service and helping others to realize their own potential.
• Communication Skills to problem solve directly with clients and other staff.
• Reliability to fill their support staff shifts and deliver on position responsibilities.
• Self-starter qualities to independently address issues and needs in our organization's community.
• Teachable - Willingness to learn and grow in their position.
  
  

Requirements

Licensure / Education / Prior Experience Required:

• Bachelor’s degree in healthcare administration, finance, business, or a related field preferred, or equivalent work experience in billing and revenue cycle management.
• Must pass a background check.
• First Aid and CPR Certification (available at Odyssey House)
• Must comply with annual TB tests, Flu, and other immunizations as required.
• Must meet employment eligibility
• Must be able to work variable shifts as needed
  
  

All employees of Odyssey House are required to adhere to: Odyssey House mission, philosophy, and scope of service; Division of Human Services Code of Conduct and all other relevant service contract requirement standards; ensuring a safe environment for all clients and staff; providing exemplary customer service to both internal and external customers; fostering a positive work environment; ensuring high-quality client care within the scope of the assigned position.

Each employee is expected to clearly understand roles and responsibilities regarding the following: Specific job positions, time management, personnel file requirements, client record system, incident reporting, mandatory training requirements, maintaining proper client boundaries, and individual rights of clients and staff.

Physical Demands of the Job: Ability to lift up to 15 lbs, drive (or adequate alternate transportation), sit for prolonged periods, and perform light to moderate physical activity at times.

EEOC Statement: Odyssey House is an equal-opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.