Job Description
Job Description
A large established behavioral health practice located in Chicago's Loop is looking to hire an experienced Revenue Cycle Specialist. The ideal candidate will be a team player, problem-solver, excellent communicator, and diligent about benefit verification, claims, collections, and revenue cycle management. This position is ideal for someone who enjoys multi-tasking, taking on challenges, and who seeks variety.
We are looking for a Revenue Cycle Specialist to work at our Chicago headquarters. This is a full-time position Monday-Friday, 8:00 am to 5:00 pm.
The position is a hybrid role, working from our Chicago Loop office three days per week and two days from home.
Duties and Responsibilities Include:
- Verifies behavioral insurance benefits for new and existing clients
- Assists with completing client intake packages as needed
- Works daily aging reports
- Resolves any insurance claim denials, coordination of benefits, or clearinghouse issues
- Works with clients to address and resolve any credit card and/or copay issues
- Manages overpayments and initiates takebacks with insurance companies
- Reconciles past due accounts through processing claims and ERA’s
- Troubleshoots aging accounts with clients and insurance companies
- Follows up on claims that are pending payment to ensure submissions were accurate
- Oversees the refund requests
- Assists with medical record requests as needed
- Submits or resubmits claims and/or corrected claims for payment
- Makes outbound collection contacts via email or phone calls in a professional manner while keeping and improving customer relations
Job Requirements:
- Minimum two years’ experience in a medical billing and collection environment
- Strong oral and written communication skills
- Ability to work as part of a multi-disciplinary team
- Effective problem solving and decision-making abilities
- Solid computer skills are required
- Strong organizational skills
- Must be a fast learner, willing to learn, takes initiative, has a passion for helping others and is eager to work and accomplish goals in a timely manner
Proficiency in the following areas is preferred:
- Knowledge of insurance guidelines and other payer requirements and systems
- Familiarity with CPT and ICD-10 Coding
- Customer service skills for interacting with clients regarding medical claims and payments, including communicating with clients and family members of diverse ages and backgrounds
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either clients or insurers during this process
- Knowledge of accounting and bookkeeping procedures
- Knowledge of medical terminology likely to be encountered in medical claims
- Maintaining client confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
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