Senior Revenue Cycle Specialist

Job Details

Level

Experienced

Job Location

Franklin, TN

Position Type

Full Time

Education Level

High School

Job Category

Accounting

Description

Why You Will Love Working With Us!

Odyssey Behavioral Healthcare believes that each person deserves the opportunity to embark on a new journey to reach their optimal level of health. Odyssey's network of behavioral healthcare services provides support to individuals throughout their journey by combining compassionate, evidence-based treatment with concierge-quality amenities.

How You Will Contribute / Position Summary :

The Senior Revenue Cycle Specialist is responsible for working insurance, and self-pay claims with a general knowledge of all revenue cycle functions including benefits, billing, and cash posting. The position also supports leadership and team members by being a subject matter expert and resource for training, questions, and escalations.

Relationships and Contacts :

Within the organization : Maintains close and frequent contact with the finance and revenue cycle team members within both the facility-based teams and Odyssey.

Outside the organization : Maintains close and frequent contact with insurance providers and third-party vendors, as necessary.

Essential Responsibilities

• Assists team members by being a first check point for guidance, escalated issues and / or training.
• Runs basic reporting and data as assigned by leadership.
• Coordinates with leadership to prioritize assignments based on current issues and business needs.
• Conducts training with new hires for accounts receivable, cash posting, billing, and verification of benefits.
• Helps the team identify any resources and tools needed to perform their jobs.
• Assists leadership with projects and complex or escalated accounts as assigned.
• Works outstanding insurance claims to point of resolution.
• Tracks insurance appeals needed throughout the appeals process.
• Handles coordination of benefit and coverage termed issues.
• Reports insurance reimbursement trends and barriers to leadership.
• Ensures work is performed in compliance with all company and regulatory requirements, protecting the privacy of client information.
• Communicates essential information to all necessary team members in a timely and accurate manner.
• Manages and uploads patient scanned documents such as insurance authorizations
• Reviews patient accounts self-pay balances and communicates information to patients and / or facility team members including gathering client statements.

Additional Responsibilities

Qualifications

What We Are Seeking / Education and Experience :

Position requires a high school diploma, bachelor's degree preferred, and two (2) years of directly related experience.

Skill Competencies :

What We Offer :

Odyssey Behavioral Healthcare provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. Odyssey Behavioral Healthcare reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains "At-Will."