Demo

Revenue Cycle Management Specialist

The Recovery Center
Lawrenceville, GA Full Time
POSTED ON 1/10/2025 CLOSED ON 1/13/2025

What are the responsibilities and job description for the Revenue Cycle Management Specialist position at The Recovery Center?

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

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Application Question(s):

  • Do you know how to manually bill medical claims?

Education:

  • Bachelor's (Preferred)

Experience:

  • ICD-10: 1 year (Preferred)
  • Medical billing: 2 years (Required)

Ability to Commute:

  • Lawrenceville, GA 30043 (Required)

Ability to Relocate:

  • Lawrenceville, GA 30043: Relocate before starting work (Required)

Work Location: In person

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