What are the responsibilities and job description for the Financial Control Specialist position at SaVida Health?
Financial Control Specialist
ABOUT THE ORGANIZATION
SaVida Health, a private equity backed healthcare company, provides outpatient opiate and alcohol addiction treatment services. SaVida Health's care model includes medical care, counseling, comprehensive toxicology testing, case management and medical management of psychiatric medications. SaVida is headquartered in Nashville, TN and currently operates in Tennessee, Massachusetts, Delaware, Vermont, New Hampshire, Maine and Virginia and is developing the capability to expand rapidly to meet the needs of patients suffering from opiate and alcohol addiction.
DESCRIPTION
SaVida Health is currently seeking a Financial Control Specialist to join our Nashville team. This is an excellent opportunity with a fast-growing organization that is seeking to improve the lives of people with opioid or alcohol addiction through respectful, compassionate and effective treatment. This position requires an individual to possess an extraordinary level of attention to detail and the ability to multi-task. Responsibilities of this key revenue cycle position include:
SaVida Health is currently seeking a Financial Control Specialist to join our Nashville team. This is an excellent opportunity with a fast-growing organization that is seeking to improve the lives of people with opioid or alcohol addiction through respectful, compassionate and effective treatment. This position requires an individual to possess an extraordinary level of attention to detail and the ability to multi-task. Responsibilities of this key revenue cycle position include:
- Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to verify accuracy of patient and insurance balances.
- Investigate the source of unidentified payment to ensure they are applied to appropriate accounts.
- Reconcile payments from insurance companies to determine proper allowance and correct write off.
- Research and approve all patient refund requests.
- Monitor Payment Mismatching (received less the contractual agreement).
- Monitor and approve all takebacks with insurance carriers; when necessary submitting appeals, corrected claims or making phone calls to resolve incorrect takebacks.
- Manage and work all unpostables in the system.
- Maintain Financial Control Center in the athenahealth system.
- Notify supervisor regarding trends and irregularities.
- Respond to inquiries from insurance companies, patients and providers.
- Regularly meet with RCM Director to discuss and resolve reimbursement issues or billing obstacles.
FULL-TIME
LOCATION Remote work from home; may require occasional travel to meetings in Nashville
LOCATION Remote work from home; may require occasional travel to meetings in Nashville
POSITION REQUIREMENTS
The ideal candidate must have full understanding of medical insurance follow-up processes, possess well-developed interpersonal skills, a positive-upbeat attitude, provide outstanding customer service and be willing to go the extra mile.
Qualifications and Education Requirements
The ideal candidate must have full understanding of medical insurance follow-up processes, possess well-developed interpersonal skills, a positive-upbeat attitude, provide outstanding customer service and be willing to go the extra mile.
Qualifications and Education Requirements
- High School diploma or equivalent
- 5 years medical billing experience minimum.
Preferred Skills
- Strong mathematical and analytical skills
- Ability to analyze large amounts of data to identify areas of concern, abnormalities and trends
- Experience with claim submissions, rejections, denials, appeals & follow up
- Payer website experience
- Experience with calling on outstanding insurance and patient balances
- Ability to analyze EOB’s and determine steps necessary to correct claims
- Demonstrates the ability to prioritize work with minimal oversight to meet outlined goals
- Ability to work independently with minimal supervision and in a team environment
- Ability to maintain work focus in a fast-paced environment
- Possess excellent oral & written communication skills
- Ability to perform under pressure in a professional, calm and positive manner
- Strong attention to detail and accuracy
- Be dependable, adaptable & flexible
- Ability to follow directives given
- Knowledge of email and internet
- Excellent written and verbal communication
EOE STATEMENT
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
