Location
Providence, RI | United States
Job description
Our Team:
We are improving the lives we touch. We are looking for passionate, talented people working together who share our desire to create a world-class organization that sets the standard of excellence in the treatment of speciality behavioral health and addiction disorders. Acadia Healthcare is headquartered in Franklin, TN and is a leading provider of behavioral healthcare services in the nation. Our organization values input from employees and fosters collaboration to create a team oriented service delivery system. This position is in Providence/Rhode Island.
Our Benefits:
- Medical, dental, and vision insurance
- Acadia Healthcare 401(k) plan
- Paid vacation and sick time
- Opportunity for growth that is second to none in the industry
Your Job as a Revenue Cycle Team Lead:
The Revenue Cycle Team Lead is responsible for the daily accounts receivable collections and billing. Resolves more complex issues escalated by the Billing/Revenue Specialist I. Communicates company goals, practices, and deadlines to team. Provides assistance to management and keeps management updated on team performance.
Hours:
This position offers a hybrid schedule option from our office in Providence.
Your Responsibilities as a Revenue Cycle Team Lead:
- Provide training to new and existing staff members as instructed by Manager/Director. Use and follow company policies and procedures in training.
- Audit work of Billing/Revenue Specialist I to ensure accuracy, efficiency and uniformity. Re-train staff as needed.
- Answers team member questions, helps with team member issues, and oversees team member work for quality and guideline compliance.
- Run productivity reports monthly and work with team members not meeting minimum standards.
- Support staff in completing all assigned tasks in a timely manner by ensuring they have the resources and tools to perform their jobs. Advise management immediately if they do not.
- Responsible for billing claims on assigned schedule/clinic(s).
- Review claims issues, make corrections as needed, and rebill to ensure “clean” claim submission. Utilize claims clearinghouse to review and correct claims and to resubmit electronically when available.
- Accounts receivable follow up. Call and status outstanding claims with third-party payors.
- Reports staff progress, deficiencies and training needs to management.
- Coordinates with Manager/Director to prioritize assignments based on current issues and business needs.
- Promotes teamwork, remaining available to assist staff as needed.
- Responsible for printing daily billing reports – both electronic and paper claims.
- Follow internal processes to correct patient accounts to correct billing episodes as needed.
- Responsible for auditing Billing Specialist I “Billing Packets” to ensure that all payers were billed and that the billing spreadsheet matches what was uploaded to the clearinghouse.
- Perform month end closing procedures within established timeframe.
- Review explanation of benefits to ascertain that claim processed and paid correctly.
- Document account follow-up in Waystar (clearinghouse).
- Identify trends and work with the Revenue Cycle Manager for resolution.
- Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
- Weekly reporting to manager an overview of the week and participate in AR meetings.
- Gather and interpret data from systems and understand appropriate course of action to take and initiate time-sensitive and strategic steps resulting in payment.
- Effectively communicate any relevant information to the Revenue Cycle Manager to either seek help in extraordinary issues or to help another team member resolve an outstanding issue.
- Coverage – responsible for providing coverage when a member of the staff is out (i.e., billing and/or AR).
Your Skills and Qualifications as a Revenue Cycle Team Lead:
- High school diploma or equivalent; prefer some college or technical school coursework.
- 2+ years of healthcare billing/AR experience, preferred.
- Healthcare payor claims follow-up or accounts receivable experience.
- Healthcare background with payor appeals experience.
- Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
- Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
- Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
- Self-motivated with strong organizational skills and superior attention to detail.
- Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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