Payer Enrollment Manager Jobs in Boca Raton, FL (NOW HIRING)

About Us: Since 1991, Lifeskills Behavioral Health has offered customized treatment programs for all genders, ages 18 and over, suffering from mental health conditions and substance use disorders. We provide clinically excellent, evidence-based, and collaborative treatment programs that are tailored based on each client’s unique needs to address a variety of mental health disorders as well as substance use disorders. Through our residential treatment program (RTC), partial hospitalization program (PHP), intensive outpatient program (IOP), and transitional living we ensure our clients can successfully transition back into their home life, family life, and careers with newfound self-esteem, direction, and control.

Why You Will Love Working With Us!

At Lifeskills Behavioral Health, we are a dynamic, dedicated, and growing team of professionals deeply passionate about providing evidence-based and personalized clinical care for mental health disorders and behavioral health conditions.

Since everyone has different experiences with mental health disorders, mental health therapies must be equally unique to address those diverse needs. Working with qualified doctoral level clinicians at Lifeskills gives individuals the opportunity to develop personalized mental health treatment plans that address their needs and help them take the next step in their recovery.

Our team’s foundation is client centered care and clinical excellence through our 5-star service commitment – Respect, Accountability, Integrity, Flexibility, Service, and Collaboration. We are committed to our team, and our team is committed to our clients!

What we offer

• Collaborative environment dedicated to clinical excellence
• Multiple Career Development Pathways
• Company Supported Continuing Education and Certification
• Multiple Health Plan Design Options Available
• Flexible Dental and Vision Plan Options
• 100% Company Paid EAP Emotional Well-Being Support
• 100% Company Paid Critical Illness (with health enrollment plan)
• 100% Company Paid Life and ADD
• 401K with Company Match
• Company-Sponsored HSA, FSA, and DSA Tax Savings Accounts
• Generous Team Member Referral Program
• Parental Leave

Position Summary

The Revenue Cycle Manager reports directly to the Revenue Cycle Director and is responsible for oversight of patient accounting functions for both Insurance and Privately funded clients. The Revenue Cycle Manager helps improve cash flow and participates in managing the overall health of the company’s receivables.

Relationships and Contacts

Within the organization: Initiates and maintains frequent and close working relationships with staff, and peers throughout the organization.

Outside the organization: Maintains working relationships with community partners, health insurance companies, prospective and current client as well as company vendors.

Essential Responsibilities

• Manages and assists with supervision of the business office team
• Prepares Consolidated Census Daily
• Lead month end process for assigned facilities
• Excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances.
• Understands all aspects of revenue cycle management to answer team questions
• Monitors UR/Billing census daily to ensure completeness and accuracy.
• Monitors Verification of Benefits (VOB) queue and process, adjusting process and resources as needed
• Manages manual billing activities for assigned facilities, including identifying and taking corrective action where needed to improve processes.
• Ensure accurate charge entry and billing including coverage for those on PTO
• Ensure accurate, timely and complete account follow-up including coverage for those on PTO
• Confirm accounts are worked to completion including all payments and adjustments are entered correctly
• Monitors timely entering and application of all payment received
• Utilizes system reports to reconcile payments posted in management systems.
• Document all activity taken on an account in the patient account notes.
• Effectively identifies trends that inhibit timely payment.
• Confirms claims are worked within the established productivity standards, for timely follow-up maintaining and updating all patient accounts to reflect current information.
• Reviews accounts for accuracy including account balance, payer plan and financial class, level of care, denials, and insurance requests.

• Review credit reports and process applicable refunds to patient or insurance carrier.
• Understand and interpret insurance Explanation of Benefits, knowing when and how to ensure that payment has been received.
• Respond in a professional and timely manner to all billing-related inquiries from patients, guarantors, staff and payers.
• Understands authorizations and limits to coverage such as the number of authorizations/units.
• Documents, analyzes, and trends billing and collection activities and communicates to supervisor as appropriate.
• Coordinates with the facility and medical records for resolution of disputed / denied claims.
• Provides ongoing feedback and coaching to the team
• Directly manages Revenue Cycle Supervisor
• Trains team on updated processes/new processes.
• Leads training for new revenue cycle staff

Additional Responsibilities

• Provide support on special or large analysis projects.
• Responsible for coordinating all new revenue cycle/business office staff onboarding and training

Education and Experience

• 3- years’ experience supervising teams
• 3-5 years’ experience with insurance billing and collections.
• 3-5 years’ experience acting as a liaison between insurance companies and family members/guarantors.
• Prior experience in Mental Health, Substance Abuse Disorder Treatment or behavioral healthcare field preferred
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Lifeskills 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 opportunities apply to all terms and conditions of employment. Lifeskills 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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