Job Description

Job Description

The Revenue Cycle Operations Agent provides support for patients, providers, and patient services departments. The Agent will assist with and be responsible for duties that include, but not limited to, insurance verification, prior authorizations for procedures and medications, coordinating incoming and outgoing referrals and assist with all aspects of AR/Billing.

Responsibilities/Duties:

• -Obtain benefit verification by utilizing Athena electronic eligibility or by contacting the actual insurance carriers. Contact insurance carriers to obtain authorizations for diagnostic ancillary services.
• -Submit patient referrals to outside resources (i.e. cardiology, radiology.)
• -Submit authorization requests for medications; obtain approvals, denials, and work through appeals. Send patient medical records to outside entities per company policies in a timely manner.
• -Request patient medical records from outside entities per company policies in a timely manner
• -Receive incoming faxes, sort and distribute to appropriate departments.
• -Answer questions from patients regarding account balances.
• -Document and maintain records on each open claim.
• -Perform necessary follow-up to ensure proper payment is received.
• -Identify and resolve billing issues.
• -Follow-up on report status of past Insurance and patient accounts
• -Perform various collection actions including contacting patient by phone, correcting and resubmitting claims. Work daily insurance correspondence as needed.
• -Answer questions from patients, co-workers, and insurance companies.
• -Any other duties as assigned.

Job Specifications:

• -Must be able to provide professional, responsive, and positive customer service.
• -Must be able to verify insurance eligibility for Psychiatry, Neurology and Primary Care Providers.
• -Ability to sit for long periods of time working at a desk and accessing a variety of systems.
• -Accuracy with attention to detail.
• -Ability to manage time and meet goals and deadlines.
• -Ability to work both independently and/or as part of a team in a fast-paced environment.
• -Strong analytical and problem-solving skills.
• -Well organized; ability to prioritize multiple projects and deadlines and be able to multi-task.
• -Ability to work under pressure.
• -Good customer service skills including sound sensitivity judgement and courteous phone manner.
• -High energy: productive work habits, flexible and adaptable to change.
• -Experience with computer programs.

Required Education/Experience:

• -High School or equivalent
• -2 - 4 years' experience obtaining insurance verification and authorizations
• -2 - 4 years' experience with medical accounts receivable
• -Knowledge of medical coding and claims

Company Description

OUR MISSION:
Salience Health serves patients in our communities utilizing a collaborative, team approach to provide personalized health and wellness through comprehensive assessment and patient education to enable earlier disease intervention. We will Relentlessly Pursue Remission and Recovery Together, One Patient at a Time.

We are changing people's lives the Salience Way:

https://youtu.be/AVRwcjJovjA

OUR VISION:
We will reconnect patients to a better quality of life. We believe every patient matters and is deserving of our full attention.

OUR PROMISE:
Dedicated to improving the overall health of our patients, we strive to be the medical provider of choice for patients who seek quality care, improved access, and convenient locations and hours. We focus on a positive, comprehensive patient experience, consisting of care provided by a focused, professional team, a cheerful environment, timeliness of appointments, and affordability of treatment. We promise to provide the highest quality of integrated health care to every patient regardless of race, gender, ethnicity, sexual orientation, or social status.

Collaborative Team
At Salience Health we utilize a “team care” model where providers from different specialties come together to coordinate each patient’s care. We believe that when all areas of the patient’s health is treated under one roof, providers can better care for, diagnose, and treat the whole patient.

Patient-Centric Staff
Our model is designed to keep the patient as our number one priority. We provide extensive patient education, engagement, and resources to ensure patients achieve improved behavioral health outcomes.

Remission Driven
With our primary motivation being patient remission, we provide state-of-the-art diagnostic assessments that help us provide uniquely tailored care and treatment plans for our patients to help us achieve that goal.

Company Description

OUR MISSION:\r\nSalience Health serves patients in our communities utilizing a collaborative, team approach to provide personalized health and wellness through comprehensive assessment and patient education to enable earlier disease intervention. We will Relentlessly Pursue Remission and Recovery Together, One Patient at a Time.\r\n\r\nWe are changing people's lives the Salience Way:\r\n\r\nhttps://youtu.be/AVRwcjJovjA\r\n\r\nOUR VISION: \r\nWe will reconnect patients to a better quality of life. We believe every patient matters and is deserving of our full attention. \r\n\r\nOUR PROMISE:\r\nDedicated to improving the overall health of our patients, we strive to be the medical provider of choice for patients who seek quality care, improved access, and convenient locations and hours. We focus on a positive, comprehensive patient experience, consisting of care provided by a focused, professional team, a cheerful environment, timeliness of appointments, and affordability of treatment. We promise to provide the highest quality of integrated health care to every patient regardless of race, gender, ethnicity, sexual orientation, or social status.\r\n\r\n Collaborative Team\r\nAt Salience Health we utilize a “team care” model where providers from different specialties come together to coordinate each patient’s care. We believe that when all areas of the patient’s health is treated under one roof, providers can better care for, diagnose, and treat the whole patient.\r\n\r\n Patient-Centric Staff\r\nOur model is designed to keep the patient as our number one priority. We provide extensive patient education, engagement, and resources to ensure patients achieve improved behavioral health outcomes.\r\n\r\n Remission Driven\r\nWith our primary motivation being patient remission, we provide state-of-the-art diagnostic assessments that help us provide uniquely tailored care and treatment plans for our patients to help us achieve that goal.