Revenue Cycle Billing and Collections Specialist
Included Health is currently looking to add a Revenue Cycle Collections Specialist to its growing Revenue Cycle Management team. The Revenue Cycle Collections Specialist will use their advanced skills and knowledge to follow up on claims to ensure timely and appropriate collections. This role includes all aspects of the revenue cycle management including denial management, appeals, reimbursement rate negotiation and accounts receivable collections.
Responsibilities:
Research and resolve insurance denials
File appeals on denied or underpaid claims
Check claim status on appropriate payor portals and contact insurances as needed
Send Medical Records and other documentation to payor upon request
Conduct Accounts Receivable Claims Follow up with patients and payors for payments
Negotiate out-of-network reimbursement rates with insurances
Review of Accounts Receivable Aging reports and work claims based on priority. In addition to tracking, monitoring and escalating payor trends that may impact cash collection goals
Meet daily, monthly, and quarterly billing metrics
Qualifications:
3+ years of experience in healthcare billing and collections
Experience in all aspects of Revenue Cycle Management
Experience in Behavioral and/or Mental Health billing preferred
Knowledge of Commercial Insurance and Government Payor guidelines
Understanding of insurance benefits and reimbursement
Proficient in medical terminology, HIPAA and other critical governmental regulations
#LI-Remote
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. Were on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. Its all included. Learn more at includedhealth.com.
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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.
Apply Now
Responsibilities:
Research and resolve insurance denials
File appeals on denied or underpaid claims
Check claim status on appropriate payor portals and contact insurances as needed
Send Medical Records and other documentation to payor upon request
Conduct Accounts Receivable Claims Follow up with patients and payors for payments
Negotiate out-of-network reimbursement rates with insurances
Review of Accounts Receivable Aging reports and work claims based on priority. In addition to tracking, monitoring and escalating payor trends that may impact cash collection goals
Meet daily, monthly, and quarterly billing metrics
Qualifications:
3+ years of experience in healthcare billing and collections
Experience in all aspects of Revenue Cycle Management
Experience in Behavioral and/or Mental Health billing preferred
Knowledge of Commercial Insurance and Government Payor guidelines
Understanding of insurance benefits and reimbursement
Proficient in medical terminology, HIPAA and other critical governmental regulations
#LI-Remote
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. Were on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. Its all included. Learn more at includedhealth.com.
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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.
Apply Now