SUD Residential Revenue Cycle Specialist

Role Description

As a Residential Revenue Cycle Specialist at Sagent Behavioral Health, you will play a critical role in managing and optimizing revenue-related processes for residential accounts. This role ensures:

• Obtaining appropriate prior authorizations
• Accurate billing
• Timely collections
• Accurate and timely payment posting to maximize financial performance

Responsibilities include:

• Manage the end-to-end residential revenue cycle, including account setup, obtaining authorizations, billing, payment posting, and collections
• Daily review of outstanding authorizations and obtaining authorizations
• Communicating with providers and following up with providers as needed
• Submitting appeals or retro reviews to insurance companies as needed
• Bi-weekly billing of RTC claims
• Research, reconcile, and resolve billing discrepancies and payment issues with payors
• Posting payments in a timely and accurate manner
• Communication with supervisor about any workflow or insurance payment issues

Qualifications

• Previous experience working with Residential revenue cycle
• Minimum of two years working in health care residential facilities preferred, particularly with billing, authorizations, and unpaid claims
• Experience working with Excel preferred
• Ability to work on dual monitors
• Ability to work on multiple software programs
• Familiarity with insurance company guidelines and HIPAA regulations
• Detail oriented and flexible problem solver

Requirements

• Compensation: $23.00-$25.00/hr
• *Actual compensation may be determined by various factors such as education, experience, skillset, internal equity, schedule and/or location
• * Employees in these positions are W2

Benefits

• Medical, Dental, Vision
• 401k, Long Term Disability, Short Term Disability, and Life Insurance
• PTO and Time Off