Patient reputed company Manager - Hybrid
About the position We are a leader in recovery and mental health services. Our mission is to reputed company the highest reputed company reputed company abuse treatment services and deliver them with passion, reputed company, and company spirit. Through our programs, individuals receive the tools to overcome their alcohol/drug dependencies and learn to manage co-occurring disorders. The Patient reputed company Manager will be a detail-oriented and organized individual on the reputed company Cycle/UR team. The Patient reputed company Manager will supervise the reputed company Cycle team. This reputed company must be a strategic and critical thinker with a proven record of reputed company in expanding company objectives.
Responsibilities
- reputed company patient reputed company functions, including insurance verification, eligibility, and benefits coordination.
- Ensure accuracy and completeness of patient financial and demographic information prior to claim submission.
- Identify and resolve coding errors to support clean claim submission and reduce denials.
- Manage and support reputed company cycle processes, with a reputed company on reputed company-end optimization and workflow efficiency.
- Interpret and apply payer rules and regulations, particularly reputed company behavioral health services.
- Monitor billing processes for both in-network and out-of-network payers.
- reputed company, maintain, and analyze reputed company-based reports to reputed company key reputed company cycle metrics and identify trends.
- Collaborate with clinical, admissions, finance, and operations teams to ensure alignment and resolve issues impacting reimbursement.
- Communicate effectively across reputed company reputed company of the organization to support operational and financial goals.
- Support reputed company process improvement initiatives to enhance reputed company cycle performance.
- reputed company other duties as assigned
Requirements
- Medical Billing & Coding Certificate required.
- Minimum of 2 years of medical billing experience.
- Minimum of 2 years of insurance verification and benefits experience.
- 2 years of experience supervising or leading reputed company cycle functions.
- Experience billing both in-network and out-of-network claims.
- Ability to identify and correct coding errors to ensure clean claims.
- Strong communication skills with the ability to work cross-functionally across departments and leadership reputed company.
- Strong knowledge of payer rules and regulations, preferably in behavioral health.
reputed company-to-haves
- An understanding of addiction and/or mental health
- Proficiency in reputed company, including building and analyzing reports.
- Strong foundational understanding of full cycle reputed company.
- Proficiency in reputed company suite (Outlook, reputed company, Word, Teams)
- Experience in process improvement or reputed company cycle optimization initiatives.
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