Revenue Integrity Specialist
Posts and investigates insurance payments, interprets EOBs and ERAs, and manages negotiation workflows and client inquiries to support accurate revenue integrity in behavioral healthcare.
Posts and investigates insurance payments, interprets EOBs and ERAs, and manages negotiation workflows and client inquiries to support accurate revenue integrity in behavioral healthcare.
Drive new business and territory growth by selling tailored revenue cycle management solutions to skilled nursing facilities, building executive relationships, and guiding opportunities from discovery through a smooth service transition.
Manage provider enrollment from application through payer processing, maintaining physician profiles and records, communicating application status, and resolving enrollment-related claim issues.
Lead client relationships and oversee provider credentialing and enrollment, managing teams, payer compliance, operational workflows, and process improvements across a growing healthcare services organization.
Manage payer-source tracking for skilled nursing facility residents by coordinating Medicaid applications, monitoring balances, maintaining facility compliance, and communicating issues with residents, families, and staff.
Coordinates insurance authorization for Spravato and TMS services, ensuring medical necessity documentation is complete and timely while tracking requests, denials, appeals, and renewals with clinical and billing teams.
Manage onboarding and ongoing relationships for Spravato and ketamine treatment accounts, coordinating billing setup, client communication, account health, and cross-functional issue resolution across a caseload of 25 or more accounts.
Handle patient billing inquiries and account workflows by resolving questions, updating confidential and insurance information, processing payments, and coordinating with collection agencies and attorneys.
Lead a multi-disciplinary team in revenue cycle management, supporting client inquiries, resolving claims, and ensuring efficient operations.
As a Revenue Cycle Account Manager, you will manage client relationships, optimize revenue cycle performance, and ensure compliance while driving financial outcomes for healthcare providers.
Drive new business growth by acquiring clients, managing a sales pipeline, and tailoring revenue cycle management solutions to meet healthcare providers' needs.
Lead and mentor a high-performing team of RCM Account Managers while driving client satisfaction, retention, and growth in the Physician RCM division.
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