Skip to Main Content
← Back to Jobs

Financial Services Specialist for Behavioral Health Centers

Caduceus Health Jersey City, NJ
  • Expired: 16 days ago. Applications are no longer accepted.

Position: Financial Services Specialist for Behavioral Health Centers

Overview: Resolution of all financial issues including payment posting errors, refunds, takebacks, and payment correspondence.

  1. Resolution of unresolved payment issues including:
    1. Posting payments, adjustments, and denials or perform necessary corrective actions.
    2. Remittance and deposit troubleshooting.
    3. Time of service payment resolution and tracking.
    4. Commercial and Self Pay Refunds processing for all payers.
    5. Incorrect or unapplied payment resolution research.
    6. Collection accounts review and resolution
    7. Financial reconciliation and tracking issues.
  2. Understanding of payment lifecycle from initial Tax ID set up to deposit tracking and posting corrections
  3. Conducts research on insurance websites and retrieves necessary documentation to post payment and denial information.
  4. Manage payment tracking in Athena including US. Bank Lock Box and payment routing.
  5. TAP payments – Client specific private pay payment plan. Runs scheduled credit card payments manually in Athena.
  6. Transfer money between departments – patients are registered in multiple departments depending on the provider’s credentialing status at the TOS. Money is sometimes collected in one department but oftentimes must be transferred to another department within the patient’s account.
  7. Virtual Credit Cards – Client wants to opt out. Calls are required to opt-out and the Unpostable attached to the claim must be worked accordingly.
  8. Patient Refunds- Patients pre-pay for their out-of-pocket (OOP) expenses related to their treatment. Often times (due to deductibles and OOP max) the patient is owed a refund.
  9. Private Pay Adjustments – Currently patients who are self-pay or their insurance doesn’t cover TMS therapy are labeled as Private Pay. Each TMS Center sets their own private pay fees and may differ by patient. Adjustments must be kept up to date on these accounts.

Knowledge, Skill and Experience requirements for this job:

  • Professional certification or formal training or certification in Medical Terminology, ICD-10 and CPT.
  • Strong background in a multi-specialty professional billing environment.
  • Thorough understanding of electronic payment, adjustment, and denial posting processes.
  • Understanding of ERA, EFT issues and troubleshooting tactics
  • Thorough understanding of all-payer websites including Medicare/Medicaid.
  • The candidate must have a minimum of 3 years in medical billing with emphasis on payment or patient account-related financial issues including payment posting.

Caduceus Health

Why Work Here?

Great colleagues, room for growth!

Caduceus an early adopter of the athenahealth service platform is the leading co-sourcing partner, offering complete business office and non-clinical operational support. Supporting over 2,500 providers on athenanet, we take on all the “you do work” in the athenahealth co-sourced relationship. These tasks range from data entry, coding, claim error dashboard workflows, un-postable routing, interface management and error ques, live operator patient call/scheduling center, to business intelligence analytics and pop health reporting. When healthcare providers and physicians are not practicing at the top of their license, the result is overworked staff and squeezed margins. – Caduceus wicks off these time consuming “last mile” difficult to resource tasks, so you can focus on your core competencies and transform patient care. Whether you are looking for end to end outsourced revenue cycle powered by athenahealth, or just select segments of the workflow process, Caduceus provides a customized service solution to meet your needs.

Address

30 Montgomery Street, Suite 720, Jersey City, NJ 07302
Jersey City, NJ
USA