FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Revenue Cycle Specialist
Perimeter Healthcare - Integrated Behavioral HealthRevenue Cycle Specialist managing billing and claims for behavioral health services remotely. Ensuring accurate claims submission and resolution of payer issues within established timelines.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient account billing and collection, with a strong focus on resolving payer denials and ensuring compliance with billing requirements for third-party payors, including Medicaid and Medicare. Exhibits strong organizational and communication skills to effectively manage accounts and collaborate with Revenue Cycle Leadership.
Highest-signal resume keywords
Patient Account BillingClaim Processing ResolutionPayer Denial ManagementThird-Party Payor KnowledgeAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims SubmissionAccount Follow-UpRemittance Advice ReviewDenial Log ReviewWrite-Off Request Preparation
Soft Skills
Problem SolvingExcellent CommunicationStrong Organizational SkillsJudgment and InitiativeService Excellence
Certifications & Qualifications
High School Diploma or GEDBA Preferred
Industry Keywords
Psychiatric HospitalsPsychiatric Residential TreatmentPayor PlansMedicaidMedicare
About the role
Key responsibilities & impact- Submits monthly claims and invoices along with discharge claims within two business days of creation.
- Reviews Payor Aging and works accounts accordingly for multiple sites within a Central Business Office Environment.
- Ensures accurate, complete, and timely account follow-up. Documents accounts within Perimeter guidelines.
- Resolves claim processing issues in a timely manner, escalates problem claims to their supervisor.
- Resolves credit balances in a timely manner.
- Reviews Remittance Advices daily and prioritizes Zero Pay accounts for immediate resolution.
- Works directly with Payor Plans/Funding Sources to resolve ongoing issues.
- Communicates Payor updates to Revenue Cycle Leadership in a timely manner.
- Reviews Facility Correspondence in a timely manner.
- Reviews new Admissions for Payor Plan accuracy.
- Prepares write-off requests based on review of balances, and submits to leadership for review and approval
- Reviews Denial Log and coordinates Denial write-offs with Facility UM Director.
- Familiar with billing requirements for payor plans...not limited to Medicaid and Medicare.
Requirements
What you’ll need- Must have a minimum of a high school diploma or GED, BA Preferred
- Preferred minimum of three years’ experience in patient account billing and collection, preferably with Psychiatric Hospitals and/or Psychiatric Residential Treatment facilities.
- Knowledgeable of third-party payors
- Attention to detail and problem solving
- Highly proficient in working through complicated payer denials
- Excellent written and verbal communication skills
- Strong organizational skills
- Strong ability to use sound judgement and take initiative to projects
- Displays excellent service excellence to everyone
Benefits
Comp & perks- Service excellence and fulfilling work environment
- 401(k) plan and company match
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Paid Time Off
- Supplemental Insurance Plans Available