What are the responsibilities and job description for the Revenue Cycle Management Specialist position at The Recovery Center USA?
100% IN OFFICE POSITION-NO REMOTE WORK
The Recovery Center, LLC - Corporate Headquarters is looking for qualified candidates with experience in Behavioral Health Medical Billing to join our team. This position is responsible for submitting claims, posting payments & adjustments, rebills, EDI claim submissions, auditing claims, and conducting reconciliation.
Overall Responsibility for the Revenue Cycle Management Specialist:
- Determine billing inconsistencies, workflow discrepancies, and develop a work plan for corrections
- Prepares and submits claims to multiple insurers for multiple locations
- Process denied claims through resolving discrepancies with Program Managers and Clinical Directors
- Prepare daily and weekly reports of billing
- Obtain and post payments through EOBs to respective client files in the electronic health record
- Understand how to read and interpret EDI files.
- Maintains confidentiality; adheres to all HIPAA guidelines/regulations.
- Other duties as assigned by Supervisor.
- MUST know how to manually bill.
Qualifications:
- Previous medical billing experience along with knowledge of billing-related reporting; 3 - 5 years’ experience in Behavioral health-care billing & collection practices.
- Understanding AND Experience with manual billing
- Experience working with medical payers such as Medicare, Medicaid, commercial insurances.
- Working knowledge of medical billing systems/software.
- Experience with Medicaid billing platforms
- Working knowledge of CPT and ICD-9/ICD-10 coding systems; Coding certification preferred.
- BA/BS preferred.
- Excellent organizational skills.
- Proficiency in Microsoft and Google Office Suites.
Schedule:
- 8am-5pm (Required)
- Monday to Friday (Required)
Ability to commute/relocate:
- Lawrenceville, GA: Reliably commute or planning to relocate before starting work (Required)
Education:
- Bachelor's (Preferred)
Experience:
- ICD-10: 1 year (Preferred)
- Medical billing: 3 years (Preferred)
- Knowledge of manual billing (Required)
100% IN OFFICE POSITION-NO REMOTE WORK
