About us:

Senior Psych Care provides fully integrative behavioral health services to the long term care patient, at their facility. Services include individual, family, and group therapies; along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Our multi-disciplinary team realizes that older adults have special physical, emotional, and social needs. The psychiatrist leads a team of nurse practitioners, physician assistants, and psychotherapists (LCSW, LPC, PhD/PsyD), take a comprehensive approach to diagnosis and treatment. For more information please visit http://www.seniorpsychiatry.com

Job Description:

The Insurance Follow-Up Denial Management Lead ensures the timely resolution of accounts receivable for all patient accounts. This position is an in office role.

Responsibilities:

• Work with Management to create and establish work flows
• Work with management to identify and correct provider, system and payor issues
• Work with management to create training manual and training videos as well as onboard new follow up staff members
  
• Contacting insurance companies regarding outstanding claims
• Providing information from our EHR (IMS by MediSoft) system (medical records, itemized statements, etc) required by insurance companies to overturn denied claims
• Must complete filing of claims and denials in a timely manner as there are timely filing limits
• Cross-train in various departments allowing familiarity with all aspects of patient accounting functions as they relate to collections
• Working with insurance claims clearing house (Availity)
• Must be able to compile documentation for appeals on denials
• Identify and document insurance payer issues. Must communicate all issues to teammates effectively and to Billing Supervisor
• Responsible for maintaining all files pertinent to accounts worked in EHR system
• Able to perform in a fast paced and changing environment
• Perform other duties as assigned

Required Experience:

• Minimum of 3 years medical billing and coding experience
• Strong knowledge of Medicare, Medicaid, Managed Care, and Commercial Plans
• Understanding of Explanation of Benefits (EOB)
• Mental Health collections experience strongly preferred
• Customer service experience
• Strong knowledge with Microsoft Office Suite (Word, Excel, Outlook, Power Point)
• Strong Computer Skills
• Previous experience with an Electronic Health Records System