Revenue Cycle AR Specialist

Join us at Transformations Care Network (TCN), as we embark on an exciting journey to empower individuals like you to make a difference in the field of behavioral health. We are committed to improving accessibility while raising the standard of care.

As a Cash Application Specialist , you will be an essential part of the corporate business support team. You will have the opportunity to collaborate with professionals from diverse backgrounds and contribute to the strategic goals of our company. Your role will involve providing essential support to various departments, enabling them to focus on their core functions and drive overall success.

Key Responsibilities:

• Initiate AR follow-up of all unpaid or denied claims with the appropriate Payor or Patient
• Resolve delinquent accounts in a timely manner by proactively working outstanding insurance accounts.
  • Obtains missing claim information to ensure prompt payment
  • Research, appeal and resolve claim rejections/denials with the appropriate Payor
• Respond to written Payor communications as indicated with appropriate action in timely manner
• Update insurance and/or patient demographic information in the practice management system as required during follow up process
• Communicate payment or denial patterns that impact revenue to management in a timely manner
• Document daily in the practice management system all follow up and communication on a patient account in a consistent and concise format
• Processes adjustments when appropriate and in accordance with policies
• Maintain knowledge of mental health billing, department policies and procedures
• Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders
• Consistently meet or exceed the department productivity and quality standards and performance requirements
• Collaborate as needed to identify and resolve underpayments and overpayments
• Other duties and responsibilities as assigned including but not limited to:
  • Work overtime with little or no notice as needed
  • Attend team meetings, phone conferences, and training as needed.

Qualifications:

• Minimum 1 year of physician billing experience
• High school diploma
• Self-starter; able to move own workflow along with minimal oversight
• Accurate; detail-oriented and able to meet tight turnaround times
• Strong written, verbal, and interpersonal communication skills
• Ability to exercise initiative, judgment, and decision-making skills
• Intermediate computer skills and proficiency in MS word, excel outlook and database management, and internet usage
• 2-4 years of physician payment posting, billing, and accounts receivable in healthcare (preferred)
• Certified Revenue Cycle Representative or other billing certification (preferred)
• Nextgen experience is a plus

Explore the Advantages of Joining Our Team:

• Enjoy competitive compensation and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security. 
• Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize client care. 
• Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment. 
• Play a pivotal role in reshaping behavioral health, with your efforts directly improving client lives. 
• Thrive in an environment that celebrates collaborative success, driven by effective communication and unity. 
• Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.

Transformations Care Network is committed to fair and equitable compensation practices. The hourly compensation range for this role is $23 - $25. Actual compensation may vary based on licensure, experience, market-driven enhancements, and incentive opportunities available for this role. These ranges represent our current standard compensation practices and may be adjusted over time to remain competitive and aligned with organizational needs.

Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.

Remote work eligibility: This position is open to candidates across the United States. Based on TCN's current employment requirements, this role is not eligible to be performed in California, Colorado, Illinois, New York, or Oregon. Eligible work locations are subject to change.