Jobs Tagged: Billing
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Column Health: Revenue Cycle Billing and Credentialing Specialists

Headquarters: Boston, MA URL: Break healthcare with us … then help us fix it.Are you a passionate, driven, smart and very social person who’s not afraid to take on new challenges? Do you want to be part of an established leading healthcare company with startup energy but where you don’t have to be a software propeller head with a waxed handlebar mustache, in a plaid shirt and skinny jeans rollin’ a fixie bike with a picobrew growler sling? Are you looking for a company where no one will ask you “what kind of animal would you be?” Are you looking for a place that rewards drive, performance and team play? Are you looking for a team that is working to do something truly great and to have fun in the process? Then a job on our rapidly expanding team at Column Health might be for you.We’re seeking several Full or Part Time team members to join our revenue cycle team as credentialing specialists, billing & coding associates, and general revenue cycle specialists.We are a mental health multi-clinic system seeking a team member to act as a billing/coding specialist to assure proper billing and coding for accurate claims reimbursement.And we are additionally seeking a credentialing specialist to ensure proper credentialing and paneling of our clinicians with agencies and payors.This job might be for you if:You admit when you don't know the answer, but you enjoy digging in until you find it and you ask for help when you need itYou don't get flustered easilyYou like helping people and want to make a differenceYou are motivated and wish your job had more purposeYou are patient, level headed, and Cool Hand Luke under pressureYou pay attention to the details… all of themYou have a voracious appetite for learning new things, and learn quicklyYou recognize that places that say they’re innovative or entrepreneurial aren’t necessarilyWhen things change or you don’t have all the info, you roll with itYou communicate clearly and eloquently, both verbally and in writingYou’ve ever described a mullet on an aggressiveness scaleYou’ve done the gesture to “drop the mic” at some point in a conversationYou can explain just about anything to anyonePhones don’t scare youYou like making listsYou hit new problems before being asked toYou take ownership without stealing creditYou want a job where you’re helped to excel into the next job upYou want a job that’s not a job as much as it is a missionPrimary Objectives of the Revenue Cycle Specialist:The Revenue Cycle Billing Specialist is responsible for managing the internal and external insurance claims submission, posting and appeals process so that Column Health is paid quickly and accurately by third party insurers for services performed and ensuring that clinic staff is kept apprised of patient-related issues.Revenue cycle billing staff are also responsible for understanding and communicating changes in insurer claims policies, identifying additional procedure codes that Column Health can properly submit and ensuring that Column Health effectively utilizes all available resources to make the insurance verification and claims process as effective as possible.Revenue Cycle Credentialing Specialists are responsible for credentialing all new clinicians with payors and agencies, as well ensuring current clinical staff remain compliant with credentialing requirements.Task Responsibilities:Insurance Claims Submissions- Daily for each clinic assigned.Review claims for proper ICD-10 diagnosis codes prior to submissionSubmit claims electronically via AthenahealthPost EoBs and ERAs- Daily for each clinic assignedAccurately post all EoBs/ERAsMake notations in claims history notes on appeals or unexpected claims activity so Revenue Cycle Specialist can communicate with patientManage all aspects of Insurance A/R, including Denials, Underpayments, Non-Payments, Appeals, Resubmissions, etc.Monitor Insurance A/R and investigate unpaid claimsIdentify and track denied and underpaid claims and follow up and repeal resultsInvestigate, correct and resubmit denied claims and track them in a timely fashionRefine and expand Column Health appeal letter templatesMonthly Patient StatementsReview monthly statements with Revenue Cycle Specialist prior to electronically sending to identify potential unexpected patient balances due to insurance denials, underpayments, etc.Communicate with Clinic ManagersReview of problem claims and status of appeals/resubmissionsMake notations in patient billing charts on unexpected insurance mattersMaintain/Update Fee schedules in Athenahealth when payors update clinic fee schedulesWork with all new clinicians to ensure proper credentialingWork with Column management to identify billing and revenue opportunities for both existing and new modalities of careOther tasks as assignedStay informed of insurance claims news and policy changes at various payorsStay up to date on trends in billing and coding; identify and attend periodic relevant continuing education coursesMaintain and update logins for various billing and collection sites (MA Virtual Gateway, BCBS Provider Gateway, etc.)Work with bookkeeping staff to resolve questions regarding insurance depositsAssist with credentialing matters to ensure smooth claims submission processAs a member of the Column Health clinic team, you’ll help us build a completely disruptive model of care and technology in an area of U.S…

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