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Transformations Care Network is a family of local mental health clinics that is passionately dedicated to improving access to high-quality care. Transformations empowers our clinicians and customer service teams to provide easy access to high quality, outcomes-based care to all those that need help, and when they need it most. Our vision is to create a united network of outpatient clinics that offer immediate, superior mental health treatment options. We provide our employees with the opportunity to grow, learn and expand their skills! We are growing rapidly and want to talk to you about what that looks like for you and your career!
As a Cash Application Specialist, you will be an essential part of the corporate business support team. You will have the opportunity to collaborate with professionals from diverse backgrounds and contribute to the strategic goals of our company. Your role will involve providing essential support to various departments, enabling them to focus on their core functions and drive overall success.
Key Responsibilities
Initiate AR follow-up of all unpaid or denied claims with the appropriate Payor or Patient
Resolve delinquent accounts in a timely manner by proactively working outstanding insurance accounts.
Obtains missing claim information to ensure prompt payment
Research, appeal and resolve claim rejections/denials with the appropriate Payor
Respond to written Payor communications as indicated with appropriate action in timely manner
Update insurance and/or patient demographic information in the practice management system as required during follow up process
Communicate payment or denial patterns that impact revenue to management in a timely manner
Document daily in the practice management system all follow up and communication on a patient account in a consistent and concise format
Processes adjustments when appropriate and in accordance with policies
Maintain knowledge of mental health billing, department policies and procedures
Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders
Consistently meet or exceed the department productivity and quality standards and performance requirements
Collaborate as needed to identify and resolve underpayments and overpayments
Other duties and responsibilities as assigned including but not limited to:
Work overtime with little or no notice as needed
Attend team meetings, phone conferences, and training as needed.
Qualifications
Minimum 1 year of physician billing experience
High school diploma
Self-starter; able to move own workflow along with minimal oversight
Accurate; detail-oriented and able to meet tight turnaround times
Strong written, verbal, and interpersonal communication skills
Ability to exercise initiative, judgment, and decision-making skills
Intermediate computer skills and proficiency in MS word, excel outlook and database management, and internet usage
2-4 years of physician payment posting, billing, and accounts receivable in healthcare (preferred)
Certified Revenue Cycle Representative or other billing certification (preferred)
Nextgen experience is a plus
Explore The Advantages Of Joining Our Team
Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize client care.
Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
Play a pivotal role in reshaping behavioral health, with your efforts directly improving client lives.
Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents, and assure your triumph in your role.
Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.
Required profile
Experience
Level of experience:Junior (1-2 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.