Revenue Cycle Billing and Collections Specialist

Included Health is currently looking to add a Revenue Cycle Collections Specialist to its growing Revenue Cycle Management team. The Revenue Cycle Collections Specialist will use their advanced skills and knowledge to follow up on claims to ensure timely and appropriate collections. This role includes all aspects of the revenue cycle management including denial management, appeals, reimbursement rate negotiation and accounts receivable collections.

Responsibilities: • Research and resolve insurance denials • File appeals on denied or underpaid claims • Check claim status on appropriate payor portals and contact insurances as needed • Send Medical Records and other documentation to payor upon request • Conduct Accounts Receivable Claims Follow up with patients and payors for payments • Negotiate out-of-network reimbursement rates with insurances • Review of Accounts Receivable Aging reports and work claims based on priority. In addition to tracking, monitoring and escalating payor trends that may impact cash collection goals • Meet daily, monthly, and quarterly billing metrics

Qualifications: • 3+ years of experience in healthcare billing and collections • Experience in all aspects of Revenue Cycle Management • Experience in Behavioral and/or Mental Health billing preferred • Knowledge of Commercial Insurance and Government Payor guidelines • Understanding of insurance benefits and reimbursement • Proficient in medical terminology, HIPAA and other critical governmental regulations

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About Included Health

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.

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