RCM Billing Specialist | Inpatient
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Job Location:
Federal Way, WA - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Job Summary
About Us:
As a non-profit organization Valley Cities Behavioral Health Care is dedicated to serving our community by offering a wide range of mental health services from inpatient to outpatient care. We believe that our employees are our greatest asset and we are committed to creating a supportive and inclusive work environment. Join us in making a difference every day!
Role Overview:
This position is responsible for billing services. Ensure that claims are billed correctly and in a timely way. Ensure unpaid claims are researched promptly. Also serves as back up to other administrative support positions.
Key Responsibilities:
As a non-profit organization Valley Cities Behavioral Health Care is dedicated to serving our community by offering a wide range of mental health services from inpatient to outpatient care. We believe that our employees are our greatest asset and we are committed to creating a supportive and inclusive work environment. Join us in making a difference every day!
Role Overview:
This position is responsible for billing services. Ensure that claims are billed correctly and in a timely way. Ensure unpaid claims are researched promptly. Also serves as back up to other administrative support positions.
Key Responsibilities:
- Assist RCM Manager with monitoring and reporting on and facilitating correction of data input errors on a daily basis to ensure benefits remain active without interruption of revenue.
- Content and performance expert on all payor billing requirements train Revenue Cycle Clinical and Facilities staff as needed on all those requirements as they relate to their responsibilities.
- Support RCM Manager by working collaboratively with Valley Cities utilization management staff to ensure authorizations and concurrent review authorization extensions are completed timely and accurately and recorded in the electronic health record and billing system.
- Monitor and audit bed board assignments episode of care and other data requirements for accurate billing of inpatient per diem and room and board charges.
- Ensure communication regarding King County census status is verified and applied correctly to inpatient services for data upload of services to King County as required by contract.
- Create inpatient services in billing system and submit electronic claims via payor portals clearinghouse King County systems and any other methods as necessary.
- Train on and facilitate the resolution of clearinghouse rejections on all claims daily.
- Follow-up on inpatient and outpatient claims that remain unpaid beyond each specific payors expected turn-around times to ensure timely reimbursement.
- Reinforce RCM Managers directives by monitoring claim payments and performing denial management of all inpatient and outpatient claims daily ensuring all denials received in a specific month are acted upon prior to that months accounting close date.
- Accurately and efficiently post all inpatient per diem and room and board claim payments daily.
- Monitor and reporting on root cause analysis of denied claims and develop and train other RCM Specialists on process improvement measures to reduce denials.
- Identify and resolve accounts receivable inpatient aging issues to ensure agencys policy and requirements are met.
- Perform data entry from source documents into the Electronic Health Record (EHR) for client services being billed or otherwise reported to commercial third party contract State of Washington and King County payors.
- Collaborate with RCM Manager as content and process experts for all King County commercial and other third-party billing and claim resolution.
- Assist clients and staff with billing related questions.
- Provide support to RCM Manager in training revenue cycle clinical and utilization management staff in procedures required to maximize reimbursement.
- Assist RCM Manager in the development and management of RCM Standard Operating Procedures (SOPs).
- Participate in Quality Management process practice and incorporate Quality Improvement principles in daily work activities.
- Maintain strict confidentiality and security about clinical and financial information.
- Maintain required levels of productivity and performance standards.
- Meet all required work deadlines.
- Ensure RCM Manager receives proper and timely information that is relevant to agency business.
- Learn and follow all related JCAHO Federal State local and Agency requirements and established agency Policies and Procedures.
- Attend required in-service training and meetings.
Other Responsibilities:
The employee will be required to:
- Attend Committee meetings as requested
- Perform other related duties as assigned.
- Attend VCCC meetings and travel to and from work-related events as required.
What Were Looking For:
Minimum Qualifications
Education:
- Associate degree or three years relevant experience
Experience:
- Medical and/or Behavioral Health insurance inpatient billing experience
- Proficient computer skills including but not limited to MS Office Suite.
Other:
- Pass required background checks
- Excellent verbal and written communication skills
- Ability to work in a team environment
- Ability to meet deadlines work under pressure with frequent interruptions
Interpersonal Attributes:
- Excellent communication skills teamwork and attitude
- Multicultural awareness
- Ability to adapt to change
- Empathetic
- Self-disciplined
- Stress management
- Good work ethics
How to Apply:
If you are ready to take the next step in your career and join a company that values your contributions we would love to hear from you!
Please submit your resume and a cover letter detailing your relevant experience and why you are the perfect fit for this role.
Join us at Valley Cities and be part of a team that is dedicated to making a difference every day. We look forward to welcoming you on board!
We are dedicated to Equal Opportunity Employment & embrace the contributions of a diverse and inclusive workforce. Valley Cities Counseling and Consultation is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans and does not unlawfully discriminate under federal state or local laws. All qualified applicants will receive consideration for employment without regard to race color religion national origin gender sexual orientation gender identity age physical or mental disability or protected veteran status.
This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work this employer is required to give you written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
Since 1965, Valley Cities Behavioral Health Care serves the mental health and substance use disorder needs of King County Washington communities.
