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Revenue Cycle Specialist

locationChicago, IL, USA
PublishedPublished: 6/14/2022
Full Time

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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