Revenue Cycle Specialist - Hybrid

Acadia Healthcare; Texas; Hybrid; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Revenue Cycle Specialist to enhance their billing and collections process. This role is critical in managing accounts receivable and ensuring timely billing while working closely with clinics and insurance providers. The ideal candidate will have a strong background in healthcare billing and excellent organizational skills. Join a passionate team dedicated to providing comprehensive care and making a difference in the fight against the opioid epidemic. This is a fantastic opportunity for growth in a supportive environment that values your contributions.

Benefits

Medical insurance

Dental insurance

Vision insurance

Competitive 401(k) plan

Paid vacation

Paid sick time

Opportunity for growth

Qualifications

• 2+ years of healthcare billing/AR experience preferred.
• Advanced computer skills including Microsoft Office.

Responsibilities

• Responsible for daily accounts receivable collections and billing.
• Review and resolve prior authorization issues with insurance carriers.

Skills

Healthcare billing experience

Accounts receivable management

Microsoft Office proficiency

Interpersonal skills

Attention to detail

Education

High school diploma or equivalent

Some college or technical school coursework

Tools

Claims clearinghouse

Electronic Medical Records (EMRs)

Job description

Overview

Now Hiring - Revenue Cycle Specialist

Hybrid - Franklin, TN

Location: This position is located in Franklin, TN

• Tuesday and Thursday in office
• Monday, Wednesday, Friday remote
• Flex Start: 6 AM - 5 PM

Our Benefits:

• Medical, Dental, and Vision insurance
• Competitive 401(k) plan
• Paid vacation and sick time
• Opportunityfor growth that is second to none in the industry

Our Passion:

We exist to Lead Care With Light. We need passionate, talented people working together who share our desire to provide the best quality care to our patients and lead the fight against the opioid epidemic. We are prepared to treat the entire disease, not just a piece of it.

Our Team:

Acadia Healthcare's Comprehensive Treatment Centers (CTC) division operates 160+ outpatient opioid treatment programs (OTPs) nationwide, serving patients undergoing treatment for opioid use disorder. As the leading provider of medication-assisted treatment in the nation, we care for more than 70,000 patients daily. Our mission is to deliver comprehensive care, combining therapies with safe and effective medications. Our team stands at the forefront of the battle against the opioid epidemic.

Your Job as a Revenue Cycle Specialist:

Responsible for daily accounts receivable collections and billing. Role’s focus is to assist with increasing collections, reducing accounts receivable days, and reducing bad debt. Partners with the field to ensure appropriate and timely revenue and collections.

Job Responsibilities:

• Responsible for updating patient Billing Episodes and crediting account, as appropriate.
• Review and resolve prior authorization/precertification/referral issues that are not valid and contact insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial.
• Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed.
• Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly.
• Clinic Emails – responsible for managing clinic emails throughout the day. All clinic emails must be responded to in a timely manner.
• Identify, Correct and forward potential reimbursement problems to Revenue Cycle Manager.
• Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations, and eligibility.
• Responsible for billing all patient claims in a timely manner (weekly billing, secondary and out-of-network plans).
• Review claims issues make corrections as needed and rebill. Utilize claims clearinghouse, EMRs and payor portals to review and correct claims and to resubmit electronically when available.
• Responsible for evaluating bill cycles and changing/updating when necessary.
• Responsible for printing daily billing reports – both electronic and paper claims. Monitor validation percent.
• Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and “Rejected” claims due to eligibility, coordination of care and authorization as part of accounts receivable.
• Gathers and interprets data from the system and understands appropriate courses of action to take and initiates time-sensitive and strategic steps resulting in payment.
• Call and status outstanding claims with third party payors.
• Review explanation of benefits to ascertain that claim processed and paid correctly.
• Document account follow-up where appropriate.
• Identify trends and work with the Revenue Cycle Manager for resolution.
• Perform other duties as assigned.

Qualifications

Your Education, Skills, & Qualifications:

• High school diploma or equivalent; prefer some college or technical school coursework.
• 2+ years of healthcare billing/AR experience, preferred.
• Healthcare payor claims follow-up or accounts receivable experience.
• Healthcare background with payor appeals experience.
• Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
• Knowledge of office administration procedures with the ability to operate most standard office equipment.
• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
• Excellent interpersonal skills include the ability to interact effectively and professionally with individuals at all levels; both internal and external.
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to the next level.
• Self-motivated with strong organizational skills and superior attention to detail.
• Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.
• Capable of working within established policies, procedures and practices prescribed by the organization.
• English sufficient to provide and receive instructions/directions.

We are committed to providingequal employmentopportunitiestoall applicantsforemploymentregardlessofanindividual’scharacteristicsprotected byapplicable state,federalandlocallaws.

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