Revenue Cycle Specialist

Empower Behavioral Health • Full-time • San Antonio, TX, US • 5d ago

Job Type

Full-time

Description

Reports to: Revenue Cycle Manager

FLSA Status: Exempt/Full Time

Compensation: $45,000 - $52,000 per year

Travel/Location: Onsite - in office, based out of our Corporate Location in San Antonio, TX

Job Summary

The Revenue Cycle Specialist at Empower Behavioral Health (EBH) is a key member of the revenue cycle management team. This individual is responsible for overall billing and claims support throughout the business. Working in a fast-paced, growing organization, this position is focused on the ever-growing needs of the EBH billing team in line with the EBH standard of patient care. This position will rely heavily on communication and multi-tasking abilities.

Duties And Responsibilities

Prepare, review, and transmit weekly claims
Complete weekly payment posting and reconciling of Explanation and Benefits
Pull remittance from payer portals
Communicate directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement
Monitor daily billing functions
Respond to all medical records requests in a timely manner
Prepare month-end reports accurately in preparation for the monthly meeting
Facilitate monthly billing meetings to provide updates
Research and compile, necessary documentation and complete the appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary.
Analyze and manage root causes of denials and develop action plans to improve results
Escalate any negative trends to the Revenue Cycle Manager for review

Requirements

Competencies:

Planning and Evaluating (Workload Management)
Problem Solving
Attention to Detail
Results-Oriented
Customer Service
Oral and Written Communication

Required

Education and Experience:

High school diploma or equivalent
Minimum of one year of healthcare professional billing experience
Previous experience with Claim Submission Requirements
Experience with revenue cycle and how various components work together
Experience or exposure to any Practice Management Software
Experience with a large number of taking inbound and outbound calls while maintaining a professional manner

Preferred

Experience with Central Reach practice management system
Experience working in an administrative setting
Experience working in a growing organization

Empower Behavioral Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Salary Description

$45,000 - $52,000 per year