Lead Reimbursement Specialist -901

Description

"They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare

What You Will Do to Change Lives

The Lead Reimbursement Specialist is responsible for all revenue cycle functions for assigned fee for service / third party facilities, including insurance verification, census, authorization management, billing, collections, cash posting, collections, denials, appeals and write offs / refunds. Additionally, the Lead Reimbursement Specialist serves as the main help contact for the Reimbursement Specialists in their group. Including providing support during contract / payer changes, trains new staff and reviews work of new staff. Keeps up to date on all applicable CPT and other coding changes, fee for service and / or contract billing rates and communicates those changes to all affected parties at Telecare. There may be some travel to locations where Telecare does business or plans to do business.

Shifts Available :

Full-Time | AM | Shifts : 8 : 30 AM - 5 : 00 PM | Days : Monday - Friday

Expected starting wage range is $68,640.00 - $82,280.72.Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.

What You Bring to the Table (Must Have)

• Six (6) years of full cycle revenue cycle experience and extensive knowledge of Medicare, Medi-Cal / Medicaid and commercial insurances
• A high level of PC literacy, especially in Excel and Word
• Prior experience training staff, using exceptional communication skills
• Critical thinking and data validation skills are mandatory
• Ability to identify and escalate issues and conflicts to management timely
• Understanding of accounting principles and the ability to balance detailed accounts to the general ledger
• The ability to operate independently, handle multiple tasks simultaneously and complete assignments with minimal supervision.
• Demonstrated capacity to work with sophisticated automated billing systems
• Must be at least 18 years of age
• All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply

What's In It For You

Join Our Compassionate Team

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.

EOE AA M / F / V / Disability

Full Job Description will be provided if selected for an interview.

If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.