Revenue Cycle Specialist

Who We Are:

Our residential treatment program provides hope for clients suffering from mental health and substance use disorders, helping them ensure sustained recovery. Located in beautiful Deerfield Beach, Lifeskills provides a secure and nurturing atmosphere for balanced recovery and healing.

Residential treatment program clients live in fully furnished townhomes that are professionally staffed 24-hours a day. This realistic, home-like setting allows residents to adapt their new coping skills within the local community and practice their daily routines while taking part in the therapeutic process. In our residential treatment program, we help our clients successfully transition back into their homes, family lives, and careers with newfound self-esteem, direction, and control.

What We Offer:

• Team driven culture based on our 5 Star Service Commitment
• Multiple Development Pathways
• Company Supported Continuing Education & Certification
• PPO & HDHP Health Plan Options
• Flexible Dental & Vision Plan Options
• 100% Company Paid EAP Emotional Well-Being Support
• 100% Company Paid Critical Illness (with health enrollment plan)
• 100% Company Paid Life & ADD
• 401K with Company Match
• Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
• Six Annual Paid Holidays Plus One Floating Holiday
• Generous Team Member Referral Program

How You Will Contribute:

The Revenue Cycle Specialist is responsible for performing billing functions that enable and expedite collections. The Revenue Cycle Specialist helps improve cash flow and participates in managing the overall health of the company's receivables.

Essential Responsibilities

• Develops, implements, and manages manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes.
• Excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances.
• Review client bills for accuracy and completeness and obtain any missing information.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Utilizes system reports to reconcile payments posted in practice management systems.
• Works electronic insurance rejections to retransmit with corrected insurance information.
• Monitors census daily to ensure completeness and accuracy.
• Works rebills submitted to the billing department through the electronic billing system or payer source.
• Re-bill and appeal claims based on payer rejections and denials.
• Accurately post payments and adjustments.
• Resolve issues that arise from information/claims submitted as well as Revenue Cycle issues.
• Review credit reports and process applicable refund to client or insurance carrier.
• Understand and interpret insurance Explanation of Benefits, knowing when and how to ensure that payment has been received.
• Research and resolve rejected, incorrectly paid and denied claims.
• Respond in a professional and timely manner to all billing-related inquiries from clients, staff and payers.
• Understands authorizations and limits to coverage such as the number of authorizations/units.
• Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information.
• Policies and Procedures - demonstrates knowledge and understanding of organizational policies, procedures and processes.
• Backup to Benefits verification process. Understands and can accurately complete a Verification of Benefits as requested by admissions team.

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What We Are Seeking:

• Associate's Degree or High school diploma with at least 3-5 years’ experience with insurance billing and collections.
• 3-5 years’ experience acting as a liaison between insurance companies and family members/guarantors.
• Prior experience in Mental Health, Substance Abuse Disorder Treatment, or behavioral healthcare field preferred

Lifeskills South Florida provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. [company name] reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”