Resources For Human Development, Inc.
Requisition Number: PA060-SBLSP-H-08-2018-01
Job Title: Revenue Cycle Specialist
City: Philadelphia
State: PA

Minimum Degree Required: F - None
Minimum Years of Experience: 3
Salary Range: $18.27-$20.19/hour

Revenue Cycle Specialist

Apply Now

Description/Job Summary

Position Summary
The Revenue Cycle Specialist is responsible for billing, collections, claims resolution and payment posting for multiple government, commercial, and private payers for a behavioral health outpatient clinic and other programs.

Essential Duties and Functions
  • Charge and Claim Processing -
    • Confirm that all services provided have been entered
    • Appropriately process all services to be billed
    • Timely file all claims -primary and secondary
    • Confirm successful transmission to payors and timely resolve any transmission errors
    • Timely communicate un-billable claims to mitigate timely filing denials
  • Claim Resolution -
    • Follow-up with payers to resolve all rejections, denials, re-submissions, and appeals.
    • Communicate with insurance companies, program staff and other internal stakeholders to settle billing issues and resolve open claims
    • Work open claims systematically giving priority to aged claims to resolve balances in a timely manner
    • Respond to inquiries or follow up on issues and provide information to resolve outstanding balances
    • Partner with program personal, ensure compliance with RHD Billing requirements and guidelines
    • Create and provide reports to analyze billing and accounts receivable
    • Initiate the write-off of claims, where applicable
  • Payment posting
    • Ensure payments and adjustments are properly applied and that payments reconcile to the EOB’s received by payers
    • Retrieve payment files from various websites for payment processing
    • Process payments received from multiple insurance plans,third parties and patients
    • Ensure deductibles, coinsurance, copay and denials are properly posted
    • Perform payment research and investigation as needed
    • Reconciling Unapplied Accounts
  • Complete all other duties as assigned
Qualifications
  • Associate Degree in a business-related field or equivalent work experience
  • Prior work experience with billing, claims follow-up, and payment posting for healthcare or mental health in a high volume Medical Insurance Billing setting
  • Proficiency in Microsoft Excel and Outlook
  • Must be detail-oriented and able to juggle multiple assignments
  • Experience with Netsmart Avatar application is a plus
Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.

 
Apply Now
Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.