Remote Revenue Integrity Specialist

lifestance; EE. UU.; A distancia; USD 28.000 - 33.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical insurance

Dental insurance

Vision insurance

AD&D insurance

Disability insurance

Life insurance

401k with employer match

Paid parental leave

Paid time off

Descripción de la vacante

LifeStance Health is seeking a Revenue Integrity Coordinator to support the National RCM Strategy team in reviewing claims for reimbursement. The role is fully remote and you will work within a national organization to ensure accurate processing of patient accounts.

The ideal candidate has at least 1 year in medical billing, preferably in Behavioral Health, with knowledge of CPT/ modifiers, HIPAA rules, and EMR systems such as AdvancedMD.

Formación

• High school diploma or GED required.
• 1+ year of medical billing experience.
• 2+ years in Behavioral Health/Mental Health space preferred.
• Experience with an electronic medical/health record system, AdvancedMD preferred.
• Understanding of EAP and Behavioral Health carve-out plans.
• Understanding CPT, modifiers and how they affect reimbursement.
• Knowledge of HIPAA and healthcare privacy regulations.
• Demonstrates inclusivity and cultural sensitivity.
• Authorized to work in the United States.

Responsabilidades

• Claim level responsibilities identified after national trend.
• Maintain up-to-date information on billing practices for payers.
• Submit corrected claims to payers for reconsideration.
• Possibly perform posting review or resubmission of claims.
• Verify patient demographic information related to insurance status and COB.
• Review ERAs and understand charges, allowable amounts and reimbursements.

Conocimientos

Attention to detail

Billing experience

Behavioral Health experience

CPT/modifier knowledge

HIPAA/privacy knowledge

Team collaboration

Diversity & inclusion awareness

US work authorization

Self-Accountability

Educación

High school diploma or GED

Herramientas

AdvancedMD

Descripción del empleo

LifeStance Health is seeking a Revenue Integrity Coordinator to support the National RCM Strategy team in reviewing claims for reimbursement. The role is fully remote and you will work within a national organization to ensure accurate processing of patient accounts.

The ideal candidate has at least 1 year in medical billing, preferably in Behavioral Health, with knowledge of CPT/ modifiers, HIPAA rules, and EMR systems such as AdvancedMD.