Job Description

Job Description

A large established behavioral health practice located in Chicago's Loop is looking to hire an experienced Revenue Cycle Specialist. The ideal candidate will be a team player, problem-solver, excellent communicator, and diligent about benefit verification, claims, collections, and revenue cycle management. This position is ideal for someone who enjoys multi-tasking, taking on challenges, and who seeks variety.

We are looking for a Revenue Cycle Specialist to work at our Chicago headquarters. This is a full-time position Monday-Friday, 8:00 am to 5:00 pm.

The position is a hybrid role, working from our Chicago Loop office three days per week and two days from home.

Duties and Responsibilities Include:

• Verifies behavioral insurance benefits for new and existing clients
• Assists with completing client intake packages as needed
• Works daily aging reports
• Resolves any insurance claim denials, coordination of benefits, or clearinghouse issues
• Works with clients to address and resolve any credit card and/or copay issues
• Manages overpayments and initiates takebacks with insurance companies
• Reconciles past due accounts through processing claims and ERA’s
• Troubleshoots aging accounts with clients and insurance companies
• Follows up on claims that are pending payment to ensure submissions were accurate
• Oversees the refund requests
• Assists with medical record requests as needed
• Submits or resubmits claims and/or corrected claims for payment
• Makes outbound collection contacts via email or phone calls in a professional manner while keeping and improving customer relations

Job Requirements:

• Minimum two years’ experience in a medical billing and collection environment
• Strong oral and written communication skills
• Ability to work as part of a multi-disciplinary team
• Effective problem solving and decision-making abilities
• Solid computer skills are required
• Strong organizational skills
• Must be a fast learner, willing to learn, takes initiative, has a passion for helping others and is eager to work and accomplish goals in a timely manner

Proficiency in the following areas is preferred:

• Knowledge of insurance guidelines and other payer requirements and systems
• Familiarity with CPT and ICD-10 Coding
• Customer service skills for interacting with clients regarding medical claims and payments, including communicating with clients and family members of diverse ages and backgrounds
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either clients or insurers during this process
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims
• Maintaining client confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)