Responsible for managing behavioral health revenue cycle activities for inpatient and outpatient services, including insurance billing, claims follow-up, denial resolution, account reconciliation, and payment review.
Key duties include:
- Review and submit accurate inpatient and outpatient claims in a timely manner.
- Verify authorizations and ensure billed services align with approved treatment.
- Analyze patient accounts for accuracy before claim submission.
- Follow up on unpaid claims and resolve denials through appeals and payer communication.
- Review insurance payments for contractual compliance and accuracy.
- Bill secondary and tertiary insurance carriers when applicable.
- Resolve account discrepancies, credit balances, and reimbursement issues.
- Reconcile patient accounts using payer contract guidelines.
- Maintain documentation in the EHR system.
- Obtain single-case agreements with non-contracted insurance companies when needed.
- Collaborate with Intake, Utilization Review, Medical Records, and other departments.
- Ensure compliance with HIPAA, OSHA, payer regulations, and organizational policies.
- Identify opportunities for process improvement and operational efficiency.
Requirements & Qualifications
Education
- High school diploma or GED required.
- Bachelor’s degree in Healthcare Administration, Business, or a related field preferred.
- Basic medical terminology required.
- Experience may substitute for education.
Experience
- 1–2 years of healthcare billing, accounts receivable, medical collections, or related revenue cycle experience required.
- Knowledge of insurance payer rules, regulations, and reimbursement processes required.
- Experience in a HIPAA-regulated environment preferred.
- Experience processing ICD-10, CPT, HCPCS, EOBs, third-party payers, Medicare, managed care, and private pay preferred.
- Behavioral health billing experience preferred.
- Experience with HCS systems is a plus.
Skills
- Strong analytical, organizational, and problem-solving skills.
- Proficiency with Microsoft Excel and general computer applications.
- Excellent attention to detail and ability to manage multiple priorities.
- Understanding of HIPAA compliance and patient confidentiality requirements.
Benefits & Perks
Benefits
- Competitive paid time off (PTO)
- Medical, dental, and vision insurance
- 401(k) retirement plan with company match
- Company-paid short-term disability and life insurance
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Employee Assistance Program (EAP)
- Employee referral program
Location
Louisiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago