What are the responsibilities and job description for the Full Cycle Revenue Specialist position at REDISCOVER?
Job Details
ReDiscover is seeking a Full Revenue Cycle Specialist to add to our Billing Department!
WHO WE ARE
ReDiscover has been known for over 50 years as a non-profit community mental health center in southeastern Jackson County, Missouri with a mission of delivering efficient and cost-effective treatment for the people we serve. Our diverse team of over 700 employees is “Passionate About People” as we support our community, specifically those whose lives have been affected by a mental illness or substance use.
With over 29 programs across 20 different locations in Lee’s Summit, Raytown, and Kansas City, ReDiscover offers a wide variety of career opportunities for individuals like you looking to make a difference throughout the area!
WHAT WE DO
The Billing Department encompasses the full revenue cycle; from intake to discharge. We assist our providers who treat individuals by ensuring claims are sent timely, maximizing our payments and funding, and work to ensure the continuation of care to the people our agency serves.
At ReDiscover, while every day is different, a typical day may include the following roles and responsibilities:
- Claim scrubbing to ensure errors are spotted and corrected before billing.
- Working the aging Accounts Receivable to prevent growth in unbilled claims.
- Submitting claims electronically, manually, and via websites such as eMOMED, commercial insurance sites, and the Claim Clearinghouse.
- Effectively resolve clearinghouse rejections and paper/835 denials.
- Monitoring and distributing various reports.
- Regularly uploading and balancing 835 payments as well as manual payment entry.
- Managing multiple tasks to ensure that work is completed timely and efficiently.
- Engage in cross-training on various payer sources to provide support for diverse billing needs as required.
We are focused on your development and will spend time helping you continue to grow as a Full Revenue Cycle Specialist. However, here are some things that you will need before starting with ReDiscover:
- High School Diploma is required.
- Two (2) to four (4) years of accounts receivable experience preferred.
- Missouri Medicaid and/or MC experience required.
- Familiarity with Missouri Department of Mental Health’s system, Medicare, Medicaid, and Commercial Insurance preferred.
- Must be dependable and consistent, follow directions accurately, take responsibility for actions, and respond proactively to management direction.
- Must be able to work a regular, consistent, on-site schedule of Monday - Friday from 8:00 am - 4:30 pm.
- Ten-key by touch proficiency is required.
- Excellent customer service skills with a recovery focus.
- Strong written, oral and interpersonal communication skills.
- Intermediate computer skills in typing/keyboarding, Microsoft Word and Excel programs as well as G-Suite.
