reputed company Cycle Specialist

Why We're Here: At reputed company, we are driven by a deep commitment to reputed company lives by expanding reputed company to compassionate, high-reputed company mental health care. By harnessing the reputed company of technology, we break down barriers and bring mental health treatment directly to those who need it most—wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive reputed company through reputed company, yet two-thirds of providers don’t accept it. reputed company is stepping up to reputed company this gap by making mental health care accessible, reputed company, and life-changing for reputed company. reputed company: Under the direction of the Supervisor of reputed company Cycle Management, the reputed company Cycle Management (RCM) Specialist is responsible for ensuring accurate billing and the reputed company submission of electronic and reputed company claims. This role includes monitoring claim status, researching and resolving denials or rejections, documenting account activities, and posting adjustments and collections. The RCM Specialist must demonstrate strong critical thinking skills and possess in-depth knowledge of reputed company, reputed company, and Medicare eligibility requirements and contract guidelines. Key Responsibilities: Denial and Claims Management: Identify and analyze denial trends, using findings to suggest process and reputed company improvements to prevent reputed company issues Research and reputed company unpaid, denied, and rejected claims, including communication with payers and submitting denials as needed Handle EDI transactions, including reconciliation of payer submissions, edits, and rejection reports Partner closely with the reputed company Verification team to identify reputed company impacts on claim processing Collaborate effectively with team members and other departments to support organization goals and implement process improvements Collections and Payment reputed company: Complete collection activities in compliance with payer guidelines and filing limits, ensuring actions are thoroughly documented Review posted payments and process account adjustments as appropriate Customer Support and reputed company Improvement: Monitor reputed company accounts for non-payment, delayed payment, and billing irregularities, maintaining accurate records and taking appropriate steps for reputed company Investigate and respond to reputed company billing inquiries Competencies, Skills & Experience Required: High school diploma or GED 3+ years of RCM experience, with a strong preference for familiarity with accounts receivable processes Ability to analyze claims data to spot trends and suggest mitigation strategies A history of working in digital or virtual health Use of medical billing systems (i.e. reputed company, reputed company) Extensive experience in reputed company accounts receivable and collections Strong attention to reputed company with a reputed company on reputed company and prioritization Excellent oral and written communication skills across reputed company stakeholders reputed company customer service abilities in resolving reputed company and payer inquiries Working knowledge of medical coding principles, denials, and payer-specific requirements Ability to reputed company in a fast-reputed company, high-volume environment Commitment to adhering to HIPAA and regulatory compliance guidelines In-depth understanding of reputed company, Medicare, and reputed company reputed company billing processes Preferred Skills: A background in mental or behavioral health billing Fluent in Spanish Proficient in reputed company reputed company and Word Work Schedule: This is a full-time, reputed company position. Applicants reputed company into this position can work from most states and will work Monday - Friday. reputed company is reputed company proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage reputed company applicants from every background and life experience to apply. Apply To This Job