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Assembly Health · 1 day ago

Behavioral Health Revenue Integrity Specialist

United States

Full-time

Remote

Entry, Mid Level

$28/hr - $34/hr

2+ years exp

Assembly Health is focused on being the best in the industry and is seeking a Behavioral Health Revenue Integrity Specialist to join their motivated team. The role involves accurately posting payments, resolving payment-related issues, and collaborating with various stakeholders to ensure efficient revenue integrity processes.

Health CareHome Health CareHospital

Responsibilities

Accurately post payments and adjustments received from various commercial and third-party insurance companies

Maintain the EOB email inbox; reviewing various requests from credentialing, underpaid claims, medical records, denials and refunds. Sorting based on priority of client needs

Collaboration with billing specialists, account managers, clients, and other relevant parties to resolve and identify payment-related issues

Investigate the source of unidentified payments to ensure they are applied to appropriate accounts

Interpret EOBs and ERAs

Handle all follow-up, research, and general responsibility of finding and identifying proposed negotiations via insurance portals, scans, faxes, and emails

Oversee the Negotiations inbox and provide timely resolution to requests

Manage and review contract negotiations between SCA/LOA’s

Notate and store all relevant negotiation information in Google Suite and companies billing systems

Assist in the timely resolution of client inquiries and requests

Collaboration with billing specialists, account managers, clients, and other relevant parties to resolve and identify payment-related issues

High-volume review and delegation of client communication and insurance correspondence

Achieve performance goals or objectives (individual or departmental) as established by the Manager

Maintain HIPAA and compliance standards to preserve patient confidentiality

Other tasks as needed

Qualification

Payment PostingICD-10NegotiationsCollaborateMDAvailityGoogle SheetsAnalytical skillsMulti-taskingProblem-solvingCommunication skills

Required

2-3 years of experience working in Payment Posting and Negotiations in the behavioral healthcare space

Strong problem-solving skills with analytical and critical thinking abilities

Minimum of one years' experience using CollaborateMD, Availity, and Google Sheets

Knowledge of Third-Party Pricer's to review trends/patterns

Proficiency in ICD-10, HCPCS/CPT, medical terminology, and levels of care

Superior written and verbal communication skills

Ability to manage critical deadlines with a self-motivated attitude and ability to multi-task

Must be resourceful, persistent, and an excellent problem solver

Ability to function well in a fast-paced and at times stressful environment

Prolonged periods of sitting at a desk and working at a computer

Ability to lift and carry items weighing up to 10 pounds at times

Benefits

Competitive Benefit Packages available

Paid Holidays

Paid Time Off

Medical

Dental

Vision

401(k)

Company

Assembly Health

Glassdoor3.1

Assembly Health is a comprehensive revenue cycle and operational partner supporting physician practices, post-acute communities, and behavioral health organizations.

Chicago, Illinois, USA

501-1000 employees