Revenue Cycle Specialist

Revenue Cycle Specialist

Odyssey Behavioral Healthcare's diverse network of programs treats adults and adolescents with eating disorders, psychiatric disorders, dual diagnoses, and addictive disorders under three distinct networks: Psychiatric, Eating Disorder, and Outpatient. Providing a continuum of care that includes inpatient, intensive residential, partial hospitalization, intensive outpatient, detoxification, and transitional living programs, Odyssey operates facilities and provides affiliated outpatient services in over 35 locations and across nine states with over 600 total beds.

The Revenue Cycle Specialist is responsible for working insurance and self-pay claims with a general knowledge of all revenue cycle functions including benefits, billing, and cash posting.

Relationships and Contacts

Within the organization: Maintains close and frequent contact with the finance and revenue cycle team members within Odyssey and other locations as assigned.

Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.

Essential Responsibilities

1. Works outstanding insurance claims to point of resolution.
2. Track insurance appeals needed throughout the appeals process.
3. Handles coordination of benefit and coverage termed issues.
4. Reports insurance reimbursement trends and barriers to leadership.
5. Ensures work is performed in compliance with all company and regulatory requirements, protecting the privacy of client information.
6. Communicates essential information to all necessary team members in a timely and accurate manner.
7. Manages and uploads patient scanned documents such as insurance authorizations.
8. Reviews patient accounts self-pay balances and communicates information to patients and/or facility team members.

Additional Responsibilities

1. Provide backup for revenue cycle team as needed.
2. Attends team meetings and trainings, as assigned.
3. Performs other duties as assigned.

Qualifications

Education and Experience:

Position requires a high school diploma, bachelor's degree preferred, and two (2) years of directly related experience.

Skill Competencies:

• Strong problem solving and analytical skills
• Strong customer service skills
• Proficient with Microsoft Office (Word and Excel)
• Excellent organizational and time management skills
• Successful collaborative skills working with a variety of groups
• Strong attention to detail
• Functional knowledge of basic behavioral health terminology
• Demonstrated familiarity with insurance billing policies and practices
• Demonstrates commitment to the mission, vision, and values of Odyssey Behavioral Healthcare

What We Offer:

• Collaborative environment dedicated to clinical excellence
• Multiple Career Development Pathways
• Company Supported Continuing Education & Certification
• PPO & HDHP Health Plan Options
• 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 & ADD
• 401K with Company Match
• Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
• Generous Team Member Referral Program
• Parental Leave

Odyssey Behavioral Healthcare 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. This job description is not an employment contract, implied or otherwise. The employment relationship remains "At-Will." The aforementioned job requirements are subject to change to reasonably accommodate qualified individuals with disabilities.