Join the team! We are looking for a Behavioral Health Revenue Integrity Specialist to join ACME, an Assembly Health company. If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further!  We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.

This is a full-time, non-exempt position reporting to the Revenue Integrity Manager.

‍

• Accurately post payments and adjustments received from various commercial and third-party insurance companies.
• Maintain the EOB email inbox; reviewing various requests from credentialing, underpaid claims, medical records, denials and refunds. Sorting based on priority of client needs.
• Collaboration with billing specialists, account managers, clients, and other relevant parties to resolve and identify payment-related issues.
• Investigate the source of unidentified payments to ensure they are applied to appropriate accounts
• Interpret EOBs and ERAs.
• Handle all follow-up, research, and general responsibility of finding and identifying proposed negotiations via insurance portals, scans, faxes, and emails.
• Oversee the Negotiations inbox and provide timely resolution to requests.
• Manage and review contract negotiations between SCA/LOA’s.
• Notate and store all relevant negotiation information in Google Suite and companies billing systems.
• Assist in the timely resolution of client inquiries and requests.
• Collaboration with billing specialists, account managers, clients, and other relevant parties to resolve and identify payment-related issues.
• High-volume review and delegation of client communication and insurance correspondence.
• Achieve performance goals or objectives (individual or departmental) as established by the Manager.
• Maintain HIPAA and compliance standards to preserve patient confidentiality.
• Other tasks as needed.

• 2-3 years of experience working in Payment Posting and Negotiations in the behavioral healthcare space.  
• Strong problem-solving skills with analytical and critical thinking abilities.
• Minimum of one years’ experience using CollaborateMD, Availity, and Google Sheets.
• Knowledge of Third-Party Pricer’s to review trends/patterns.
• Proficiency in ICD-10, HCPCS/CPT, medical terminology, and levels of care.
• Superior written and verbal communication skills.
• Ability to manage critical deadlines with a self-motivated attitude and ability to multi-task.
• Must be resourceful, persistent, and an excellent problem solver.
• Ability to function well in a fast-paced and at times stressful environment.
• Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times.

• Be part of something special! We are growing both organically and through acquisitions.
• Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way!
• Ongoing training and development programs
• An environment that values transparency
• Virtual and in-person events to connect with your team.
• Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office.