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 Collaborative environment dedicated to clinical excellence Multiple Career Development Pathways Company Supported Continuing Education & Certification Multiple Health Plan Design Options Available 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 & AD&D 401(k) with Company Match Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts Generous Team Member Referral Program Parental Leave Position Summary 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 Develop, implement, and manage manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes. Provide 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. Utilize system reports to reconcile payments posted in practice management systems. Work electronic insurance rejections to retransmit with corrected insurance information. Monitor census daily to ensure completeness and accuracy. Work rebills submitted to the billing department through the electronic billing system or payer source. Rebill 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 refunds to clients or insurance carriers. 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. Understand authorizations and limits to coverage such as the number of authorizations/units. Maintain a strict level of confidentiality for all company, departmental, and healthcare provider information. Demonstrate knowledge and understanding of organizational policies, procedures, and processes. Backup to Benefits verification process. Understand and can accurately complete a Verification of Benefits as requested by admissions team. Qualifications Associate's Degree preferred or High school diploma with at least 3-5 years of experience with insurance billing and collections. 3-5 years of 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. Lifeskills 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.” #J-18808-Ljbffr