Revenue Integrity Coordinator
Job Summary
The Revenue Integrity Coordinator assists the National RCM Strategy team with accurate, detailed, and thorough review of claims billed to payers/insurance companies for reimbursement. Working in coordination with the Billing leadership team, utilize billing knowledge to ensure the timely and accurate processing of patient accounts. The ideal candidate will be someone who has a strong desire to work individually while meeting the needs of a national organization. An important key requirement is the self-accountability to drive success in a virtual team environment. This position is fully remote and can be performed anywhere within the United States.
Benefits
As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program.
Compensation
Compensation: $20.00- $24.00 Hourly with potential bonus
Responsibilities
- Maintain current information on correct and lawful practices for billing payers
- Claim level actions to submit corrected claims to payer(s) for reconsideration
- May include some posting review or actions to resubmit claims to a payer
- Verify patient demographic information as it related to status of patient’s insurance as well as COB
- Review of ERA’s received and understanding of charges, expected allowable and actual allowable
Skills & Experience
- High school diploma or GED equivalent required
- 1+ year of experience in a medical billing role
- 2+ years Behavioral Health/Mental Health space preferably
- Previous experience with an electronic medical/health record, preferably AdvancedMD
- Understanding of EAP and Behavioral Health carve out plans
- Understanding of CPT, modifiers, Mental Health provider types and how each impact reimbursement
- Understanding of associated privacy legislation related to healthcare information, i.e., HIPAA
- Strong attention to detail
Physical Requirements
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus
About the Role
LifeStance Health Values Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Qualifications
- Qualified candidates must be legally authorized to be employed in the United States
- Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture