Revenue Cycle Specialist

About This Role

This specialist role is responsible for managing billing, collections, and revenue processes to ensure timely and accurate reimbursement for services provided. It suits a professional who wants to make a real difference in behavioral health within a mission-driven team.

Responsibilities

• Manage all aspects of the revenue cycle, from claim submission and insurance verifications to collections and reconciliation
• Perform data entry from source documents into the Electronic Health Record for client services being billed or otherwise reported to commercial third party, contract, State of Washington and King County payors
• Review and submit claims accurately, ensuring compliance with payer requirements and coding standards
• Track and follow up on unpaid claims, working with payers to resolve denials and rejections in a timely manner
• Prepare and submit appeal letters for denied claims, ensuring that all required documentation is included in a timely manner
• Process incoming mail concerning billing and client statements
• Post payments to client accounts, perform account research and process daily deposits
• Create scanned copies of all checks, complete deposit slips and perform bank deposits
• Maintain accurate records of all communications with clients regarding their accounts, including payment agreements, and follow-up actions
• Address customer inquiries and complaints related to billing and collections, ensuring a professional and courteous approach
• Prepare monthly reports on the status of self-pay overdue accounts and collection efforts to management for collection list approval
• Assist in training clinical staff in procedures required to maximize reimbursement
• Maintain knowledge of contract data submission requirements
• Serve as a liaison between Agency and Contract agencies to maintain requirements
• Maintain strict confidentiality and security about clinical and financial information
• Practice and incorporate Quality Improvement principles in daily work activities
• Provide back-up support to others in the department, prepare reports and perform other general administrative duties
• Maintain required levels of productivity and performance standards
• Meet all required work deadlines
• Ensure that supervising manager receives proper and timely information that is relevant to VCCC business
• Ensure compliance with all state and federal regulations including HIPAA
• Attend required in-service training and committee meetings as requested
• Perform other related duties as assigned

Requirements

• Associate’s degree or three years of relevant experience