Revenue Cycle Specialist I - Insurance Follow-Up

Description

Medical Collections Specialist- Houston, Texas

Senior Psych Care ?provides fully integrative behavioral health services to long-term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Our multidisciplinary team realizes that older adults have special physical, emotional, and social needs. The psychiatrist leads a team of nurse practitioners, physician assistants, and psychotherapists (LCSW, LPC, PhD/PsyD), who take a comprehensive approach to diagnosis and treatment.?

The Medical Collections Specialist is responsible for collecting payment on overdue bills and accounts. These duties include, but are not limited to, the following:

• Monitor and follow up on outstanding claims using phone, payer portals, and written correspondence to resolve unpaid, delayed, or denied claims.
• Interpret Explanations of Benefits (EOBs), remittance advice, and denial codes to determine next steps for resolution.
• Collaborate with providers, billing staff, and leadership to resolve billing discrepancies, coding issues, and payment posting errors.
• Document all billing activities, correspondence, and collection efforts thoroughly within billing systems.
• Share insights and best practices with colleagues to improve department efficiency and outcomes.
• Contribute to a team culture centered around problem-solving, integrity, and a shared mission to support patient care through effective revenue stewardship.
• Execute various tasks, as assigned by your manager, supervisor, or company officer, whether within your standard duties or as requested beyond regular responsibilities.
  

Qualifications:

• Minimum of 1 year of experience in revenue cycle within a healthcare organization
• Insurance verification and billing processes are highly preferred, including familiarity with payer policies, coverage requirements, and claims workflows.
• Familiarity with Medicare, Medicaid, and third-party payer requirements
• Strong attention to detail and organizational skills
• Works well in a team-oriented environment; collaborates effectively with peers and leadership to achieve department goals.
• Excellent communication and customer service skills
• Candidate must exhibit excellent time management and organizational skills.
• Ability to work independently and adapt to a fast-changing environment.
• Adhere to HIPAA guidelines and regulations.
• Experience utilizing Medical Billing Software.
  

What we offer:

• Competitive salary, commensurate with experience
• Comprehensive benefits package including:
• Medical
• Dental
• Vision
• Life Insurance
• Short and Long Term Disability
• 401(k)
• Paid Time Off and Paid Holidays.