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SalaryRevenue Cycle Specialist
Job Summary
This position will act as a key member of the Revenue Cycle Department team and reports to the Director, Contract and Revenue Cycle. Hybrid
This position will act as a key member of the Revenue Cycle Department team and reports to the Director, Contract and Revenue Cycle. Hybrid
Who We Are
We are a team that is focused on patient care and quality. Behavioral Health Group (BHG), is a leading provider of opioid addiction treatment services. BHG provides medication assisted treatment and counseling services in a conventional outpatient setting. At BHG, we are committed to the belief that addiction is a brain disease, not a moral failing. We believe that with hope, respect, and caring, real recovery is possible.
Why work at BHG?
We grow better together! At BHG we believe in investing in our team members and growing careers through role-based training and promotional opportunities. Join our team members and thrive in our people first culture that is rooted in diversity and inclusion and offers many other tangible opportunities such as:
- Benefits: Your choice of three different benefits programs including health, life, vision, and dental insurance, a tuition reimbursement program, and 401K discretionary match
- Bonuses: We offer competitive pay, annual increases, bonuses, and certification/license completion
- Paid Time Off: In addition to paid vacation and company holidays, BHG also provides paid time for training, voting, sick or personal time off
- Work/life Balance: Many of our locations offer flexible work schedules
- Additional Benefits: Employee Discount Programs to applicable cell phone services, restaurants, amusement parks, movie theaters and more
- Career Pathing: We are growing and promote from within
- Self-Care: We offer a self-care series as well as an Employee Assistance Program
BHG is the largest network of Joint Commission accredited outpatient opioid treatment and recovery centers operating almost 120 locations in 24 states, and counting. Please ensure you check out our open opportunities in other locations/states as we offer relocation assistance to help support your career.
Summary of Essential Job Functions
The Revenue Cycle Specialist - Team Lead will be responsible for assisting/overseeing the current team of Revenue Cycle Specialists managing all 3rd Party payer collections and special projects. This position will also be assigned specific regions and payers to complete AR follow up on as well. This position will be responsible for reviewing daily 3rd Party payer denial trends with the team and leadership to determine resolution. This position requires a very analytical thinker and process improvement-oriented individual who can review claims data and outline, document and communicate the issues to resolution. Experience with achieving reimbursement from private payers, insurance companies and government healthcare programs with heavy concentration in Medicaid and Medicare. Will work directly with payers to investigate, research and applicable correspondence to successfully resolve payment discrepancies.
Minimum Requirements
- Associates Degree and/or 5 years of medical billing (coding), accounts receivable/collections, payment posting, PMS/EHR, and reconciliation experience
- Strong knowledge of Medicare, Medicaid, Managed Care and Commercial Plans
- Strong reconciliation and analytical abilities as it relates to medical billing, collections and payment posting
- Basic knowledge of clinical terminology, ICD-10, and CPT codes
- Ability to read and understand different Explanation of Benefits
- Ability to read and understand HCFA regulations, HIPPA compliance and updates with each state
- Ability to work independently and under pressure while handling multiple tasks simultaneously
- Ability to communicate clearly and effectively verbally and in writing
- Ability to efficiently manage multiple tasks as assigned
- Ability to adhere to policy and procedures set company wide and inter-departmentally
- Ability to meet production and quality standards set forth by department
- Ability to multitask
- Willing to learn and take on new tasks
- Flexible with assigned tasks
- Be a productive member of the staff
- Demonstrate cooperation
Skills & Abilities
- In-depth knowledge of billing and revenue-cycle processing necessary
- Deadline and detail oriented
- High analytical skills
- High integrity
- Excellent verbal and written communication skills
- Strong customer service skills
- Sound judgment
- Efficient
- Self-starter
- Ability to work independently and under pressure while handling multiple tasks simultaneously
- Ability to make decisions and use proper judgment with confidential and sensitive issues
- Ability to deal appropriately with patient and team members in stressful or other undesirable situations and to seek direction from supervisors when necessary
- Demonstrate basic computer/word processing skills
GREAT Opportunities - Our Team Members are motivated self-starter’s who excel in a fast-paced environment and become a valued member of our team.
GREAT People - Our staff has a passion to be the best, sharing a strong work ethic and dedication to providing the gold standard of patient care.
GREAT Support - We are committed to providing the training, information, and corporate support necessary to facilitate your success.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
