What are the responsibilities and job description for the Billing & Patient Collections Coordinator position at ODYSSEY BEHAVIORAL GROUP?
Position is hybrid. Required in office days Mondays and Thursdays onsite at Silver Pines in Mahanoy City, PA.
Who We Are
STR Behavioral Health’s premier mental health and addiction treatment centers are located in Lancaster, Levittown, Bucks County, and Lehigh Valley, PA. The programs we offer include detox, residential, partial hospitalization, intensive outpatient, and outpatient care with licensed recovery housing. The approach at our treatment centers is firmly rooted in individualized, person-centered care to help clients uncover the “why” behind their disorders and help them build foundational relationships that help answer the “how” in moving forward. We work closely with every client to create personalized, high-quality treatment plans that cater to their specific needs and increase their chances of success. Our clinical team also meets regularly to adjust each treatment plan as the client progresses through treatment. Additionally, we work closely with each client’s family and other stakeholders to help people thrive in recovery.
What We Offer:
- Collaborative environment dedicated to clinical excellence
- Multiple Career Development Pathways
- Company Supported Continuing Education & Certification
- Multiple Health Plan Design Options Available
- Flexible Dental & Vision Plan Options
- 100% Company Paid EAP Emotional Well-Being Support
- 100% Company Paid Critical Illness (with health enrollment plan)
- 100% Company Paid Life & ADD
- 401K with Company Match
- Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts
- Generous Team Member Referral Program
- Parental Leave
Position Summary
The Revenue Cycle Coordinator is responsible for the accurate and timely billing of services provided to clients admitted to STR Behavioral Health facilities, patient responsibility collections, posting of payments, verification of benefits and authorizations, and claims resolution and follow-up.
Essential Responsibilities
- Responsible for weekly billing, researching payment discrepancies, and claims denial management.
- Ensures billing practices are ethical and compliant with company policies, and government regulations and guidelines.
- Follows HIPAA guidelines in handling patient information.
- Prepares appeal letters to insurance carriers, when necessary to obtain reimbursement.
- Compiles medical records and documentation, to provide support to Utilization Review appeals process and compliance department review.
- Reviews daily technical and professional billing charges for multiple facilities.
- Prepares monthly patient responsibility invoices and performs collections follow-up.
- Ensures accurate billing based on services provided.
- Provides excellent customer service, responding calmly and making rational decisions in stressful situations.
- Responsible for billing systems in maintenance, rate verification, and rate updates, including the application of contractual adjustments and allowances.
- Confirms admissions, transfers, and discharges with Admissions Department and reconciles weekly census to ensure the accuracy of billing.
- Performs other duties as assigned.
Qualifications:
Education and Experience
Position requires a High School Diploma or equivalent and a minimum of three (3) years healthcare insurance billing experience, preferably within behavioral healthcare and substance use disorder treatment.
Physical Requirements
- While performing the duties of this job, the employee will be required to communicate with peers/general public, clients and/or vendors
- Tolerant to various noise levels: noise level in the work environment varies – may be very quiet to moderate
- Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time
- While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, reach, climb or balance, stoop, kneel, crouch
- Ability to move up to 25 pounds
Skill Competencies
- Demonstrates strong organization skills and a high level of attention to detail.
- Demonstrates effective verbal and written communication skills.
- Demonstrates familiarity and knowledge with local insurance carriers.
- Demonstrates proficiency with Microsoft Office Suite, EMR, and billing software.
- Demonstrates basic knowledge of paper billing processes.
- Demonstrates excellent teamwork.
- Demonstrates excellent time management.
- Demonstrates a commitment to continuous learning and improvement.
- Demonstrates commitment to the mission, vision, and values of STR Behavioral Health
STR Behavioral Health provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. STR Behavioral Health reserves the rights to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”
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