We are looking for a Revenue Cycle Specialist to join our team that will report directly to the Revenue Cycle Manager. The Revenue Cycle Specialist will be focused on the oversight of all aging revenue, payment posting, and overall cash collections. You will also be responsible for working with internal teams to inform and keep all aspects of the full revenue cycle up to date. 

What you'll be doing:

• Responsible for full revenue cycle billing for medical claims to ensure proper reimbursement for services rendered.
• Resolve issues with pending, rejected or denied insurance claims, through re-submissions and appeals driving in net collections.
• Ensuring that all payment postings from various payers happen in an accurate and timely manner.
• Communicating with patients regarding outstanding balances, questions about their bills, and setting up payment plans when necessary.  
• Responsible for managing insurance A/R follow ups and resolution of all insurance claim billing errors.
• Act as a liaison, when necessary, between internal and external partners to resolve claims and billing issues.
• Identify trends or issues and initiate corrective action to improve revenue cycle management claim resolution rates.. 
• Provide feedback and advice on product/technology/service improvements. 
• Own ad hoc operational efficiency projects as needed by the Director of Health Plan Operations. 

Success as a Revenue Cycle Specialist can be defined by several key indicators:

• Optimized Revenue Generation: 
• Timely Billing and Reimbursements
• Accuracy and Compliance
• Reduced Accounts Receivable Days
• Effective Communication
• Continuous Improvement
• Customer Satisfaction

What we expect from you:

• High School diploma or GED required with at least two (2) years experience in the healthcare field in a similar position.
• Familiarity/Experience working in the behavioral health field.
• Comfortable in amorphous environments and with constantly evolving job role responsibilities.
• Tech-savvy: very comfortable adapting to new technologies and platforms while remaining efficient in completing tech-related tasks.
• Excellent written and verbal communication skills.
• Able to multi-task and context switch!

The target base salary range for this position is $32.05 - $39.62, and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using Radford Global Compensation Database at minimum to ensure competitive and fair pay. 

Benefits provided by Spring Health:

Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. All benefits are subject to individual plan requirements and eligibility criteria.

• Health, Dental, Vision benefits start on your first day at Spring Health. You and your dependents also receive an individual One Medical account which is valued at $199/year per user. HSA and FSA plans are also available.
• Employer sponsored 401(k) match of up to 2%
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
• Generous paid time off, 10 sick days, 12 paid holidays throughout the year, and a 1 month sabbatical leave granted at your 4 year anniversary
• We offer parental leave up to 18 weeks, depending on your eligibility including tenure and medical situation.
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
• Access to Wellhub, an on-demand virtual benefit that provides wellbeing coaching, and budget management.
• Up to $1,000 Professional Development Reimbursement a year.
• $200 per year donation matching to support your favorite causes.

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