AR Denial Specialist
Behavioral Health Group - BHG · Dallas, TX · 1 mo ago
HybridAccounting$24–$27/hrFull-time
We need to output HTML fragment with sections: h3 headings for sections present with real content. Must not repeat job title. Must not include Job ID etc. Must include Pay and Schedule sections only if present. The posting includes "Hybrid Position - 2 days in office" and "Pay Range: $24.00 - $27.00 Hourly plus Bonus Structure". Also later "Starting Pay Range: $23-$25/hr". There's some inconsistency; we need to preserve all substantive info. So we need to include Pay section with the pay range info. Also schedule: "Hybrid Position - 2 days in office". That's schedule info. So include Schedule section.
We need sections: About the role? There's a paragraph about BHG and job summary. Could be "About the role" or "Job Summary". The instruction: use h3 for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should map content accordingly.
We have:
- About BHG: description of company. Could be "About the role" or maybe "About the company". But we can use "About the role" for summary.
- Job Summary: description of role.
- Responsibilities: list of duties.
- Requirements: maybe "Minimum Requirements" and "Qualifications". Could combine.
- Qualifications: list of qualifications.
- Skills: maybe from "In Addition To Meeting The Qualifications, The Ideal Candidate Will Embody..." includes skills.
- Benefits: from "Why Join BHG?" includes benefits.
- Pay: pay range.
- Schedule: hybrid 2 days in office.
We must not create sections with filler. Ensure each section has substantive content.
We must remove boilerplate: EEO, disclaimer, etc. Also remove duplicated lines.
We must preserve all substantive info: need to include details like "Reviews claims data to ensure 3rd party billing requirements are met", etc.
We need to output only HTML fragment, no /, no markdown fences.
Let's extract content.
First, company description:
"Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and a leading provider of opioid addiction treatment services. With over 116 locations in 24 states and a team of more than 1,900 employees, we are dedicated to helping individuals overcome substance use disorders and reclaim their lives. Join us in making a difference."
Job Summary:
"This position will act as a key member of the Revenue Cycle Department and reports to the Director, Contract and Revenue Cycle. The Revenue Cycle Specialist will help facilitate claims, payments, and verifications daily. The Revenue Cycle Specialist will provide updates and reports on the financial stability of the treatment centers."
Responsibilities list (from "Summary Of Essential Job Functions The key responsibilities of the Revenue Cycle Specialist include but not limited to:" then bullet list). Let's capture each bullet:
- Reviews claims data to ensure 3rd party billing requirements are met
- Reviews claims to ensure eligibility, prior authorizations and proper signatures
- Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs Medicaid, VA, etc.)
- Investigates denied claims through research and applicable correspondence and follows through to resolution
- Successfully resolves payment discrepancies in a timely manner
- Escalates issues appropriately and promptly to supervision
- Verifies and informs treatment center staff about the patient’s financial accountability and 3rd party reimbursement, as applicable
- Posts payments and adjustments while ensuring all deposits are balanced daily
- Documents payment records and issues as they occur
- Completes reporting requirements as required by company policy and requested by supervision
- Demonstrates an understanding of NPI, taxonomy and electronic claim submission requirements
- Identifies underpayments and overpayments/credits to determine steps for resolution
- Retrieves missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.)
- Reads debits and credits on accounts and takes necessary action to resolve
- Performs other duties assigned by supervision
Also there are sections: Regulatory, Marketing and Outreach, Professional Development, Training, Other. Those could be considered part of responsibilities or separate sections? The instruction: prefer few substantive sections over many thin ones. Could combine under Responsibilities. But we have headings like Regulatory, Marketing and Outreach, Professional Development, Training, Other. Might be better to keep them as subpoints under Responsibilities? However we need to follow instruction: use
- for any list of duties/requirements/benefits. So we could have a single Responsibilities section with all duties, including those regulatory etc. That would be okay.
But we also have "Minimum Requirements" and "Qualifications". Could combine into Requirements section.
We have "Qualifications" list: High school Diploma or equivalent. Then "In Addition To Meeting The Qualifications, The Ideal Candidate Will Embody The Following Characteristics And Possess The Knowledge, Skills And Abilities Listed Below:" then a list of skills/characteristics.
We could have Requirements section (minimum requirements) and Skills section (desired skills). Or combine.
We have Benefits section from "Why Join BHG?" with bullet points.
We have Pay: "Hybrid Position - 2 days in office Pay Range: $24.00 - $27.00 Hourly plus Bonus Structure" and later "Starting Pay Range: $23-$25/hr". We need to preserve both? Might be contradictory; we should include both statements as they appear. Could combine: Pay Range: $24.00 - $27.00 Hourly plus Bonus Structure; Starting Pay Range: $23-$25/hr. We'll include both.
Schedule: "Hybrid Position - 2 days in office". So schedule: hybrid, 2 days in office.
Now produce HTML:
About the role
Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and a leading provider of opioid addiction treatment services. With over 116 locations in 24 states and a team of more than 1,900 employees, we are dedicated to helping individuals overcome substance use disorders and reclaim their lives. Join us in making a difference.
This position will act as a key member of the Revenue Cycle Department and reports to the Director, Contract and Revenue Cycle. The Revenue Cycle Specialist will help facilitate claims, payments, and verifications daily. The Revenue Cycle Specialist will provide updates and reports on the financial stability of the treatment centers.
Responsibilities
- Reviews claims data to ensure 3rd party billing requirements are met
- Reviews claims to ensure eligibility, prior authorizations and proper signatures
- Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs (Medicaid, VA, etc.)
- Investigates denied claims through research and applicable correspondence and follows through to resolution
- Successfully resolves payment discrepancies in a timely manner
- Escalates issues appropriately and promptly to supervision
- Verifies and informs treatment center staff about the patient’s financial accountability and 3rd party reimbursement, as applicable
- Posts payments and adjustments while ensuring all deposits are balanced daily
- Documents payment records and issues as they occur
- Completes reporting requirements as required by company policy and requested by supervision
- Demonstrates an understanding of NPI, taxonomy and electronic claim submission requirements
- Identifies underpayments and overpayments/credits to determine steps for resolution
- Retrieves missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.)
- Reads debits and credits on accounts and takes necessary action to resolve
- Performs other duties assigned by supervision
- Ensures compliance with all federal, state and local regulatory agency requirements
- Ensures compliance with all accrediting agencies
- Participates in community and public relations activities as assigned
- Achieves assigned specific annual goals and objectives
- Demonstrates the belief that addiction is a brain disease, not a moral failing
- Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
- Establishes and maintains positive relationships in the workplace
- Works independently and under pressure while handling multiple tasks simultaneously
- Makes decisions and uses good judgment with confidential and sensitive issues
- Deals appropriately with others in stressful or other undesirable situations
- Participates in and provides in-service trainings as required by federal, state, local, and accrediting agencies
- Attends conferences, meetings and training programs as directed
- Participates in and/or schedules and attends regular in-service trainings
- Demonstrates commitment to valuing diversity and contributing to an inclusive working and learning environment
Requirements
High school Diploma or equivalent
Skills
- Denial Management Skillset
- Strong knowledge of Excel
- High integrity
- Excellent verbal and written communication skills
- Sound judgment
- Efficient
- Self-starter
- Strong interpersonal communication skills
- Valid driver’s license
- Healthcare experience preferred
- Experience in front desk, admissions, billing, and/or collections
- Accurate data entry and basic keyboarding skills
- Ability to work independently under pressure and handle multiple tasks simultaneously
- Ability to enforce fee collection policies
- Basic computer/word processing skills
- Knowledge and use of typical office equipment (calculator, fax machine, copier, computer, telephone, postage meter, scales, scanner, and computer programs)
- Knowledge of basic math, accounting, and accounts receivable
Benefits
- Work‑Life Balance: generous paid time off, holidays, and personal needs; flexible schedules with early in/early out hours, no nights, and no Sundays
- Investment in Your Growth: role‑based training and advancement opportunities
- Comprehensive Benefits: choose from three benefits programs, including health, life, vision, and dental insurance; tuition reimbursement and competitive 401K match
- Recognition and Rewards: competitive pay, quarterly bonuses, and incentives for certifications or licenses
- Employee Perks: exclusive discounts on various services and entertainment options; Employee Assistance Program and self‑care series
Pay
Hybrid Position - 2 days in office Pay Range: $24.00 - $27.00 Hourly plus Bonus Structure; Starting Pay Range: $23‑$25/hr
Schedule
Hybrid position – 2 days in office
Check for any duplicated content: we included schedule twice? We have schedule in Pay line and separate schedule section. The Pay line includes "Hybrid Position - 2 days in office". That's redundant but it's part of the original text. We could keep it; but maybe better to separate: Pay section only pay info, Schedule section schedule info. The Pay line currently includes the hybrid phrase; we could remove that from Pay and keep only pay details. However we must preserve ALL substantive information; removing "Hybrid Position - 2 days in office" from Pay would be losing that phrase, but we still have it in Schedule section. So it's preserved elsewhere. So we can edit Pay line to just the pay ranges. Thus Pay: "