Revenue Cycle Specialist - Insurance Claims

Capitol Park Mental Health Hospital; Saint Paul (MN); On-site; USD 32,000 - 39,000; Full time

Job summary

Capitol Park Mental Health Hospital in Saint Paul, MN is seeking a detail-oriented Revenue Cycle Representative to join our Business Office team. You will manage insurance accounts receivable, follow up on outstanding claims, and ensure timely reimbursement from third-party payors.

This on-site role requires analyzing EOBs, resolving payment discrepancies, and maintaining productive workflows while collaborating with Financial Counselors and leadership on reimbursement issues.

Qualifications

• High school diploma or equivalent required.
• Ability to read, understand, and analyze Explanation of Benefits (EOBs) and identify claim payment discrepancies.
• Prior admissions and/or collections experience in a hospital setting required.
• Strong attention to detail and problem-solving skills.
• Psychiatric or behavioral health experience preferred.
• Experience with Avality or Medhost preferred.

Responsibilities

• Follow up on outstanding insurance claims and resolve payment issues.
• Review, correct, and resubmit denied or rejected claims.
• Utilize claims clearinghouse systems to manage claim submissions and edits.
• Review and interpret Explanation of Benefits (EOBs) to ensure claims are processed and paid correctly.
• Complete account adjustments with supporting documentation.
• Maintain productivity standards of 30-40 accounts worked per day.
• Collaborate with Financial Counselors and Business Office leadership regarding reimbursement and eligibility concerns.

Skills

Attention to detail

Problem solving

EOB analysis

Education

High school diploma or equivalent

Tools

Avality

Medhost

Job description

Capitol Park Mental Health Hospital in Saint Paul, MN is seeking a detail-oriented Revenue Cycle Representative to join our Business Office team. You will manage insurance accounts receivable, follow up on outstanding claims, and ensure timely reimbursement from third-party payors.

This on-site role requires analyzing EOBs, resolving payment discrepancies, and maintaining productive workflows while collaborating with Financial Counselors and leadership on reimbursement issues.