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Revenue Integrity Coordinator
LifeStance Health. Assist the National RCM Strategy team with accurate, detailed, and thorough review of claims billed to payers/insurance companies for reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including claim review, submission, and compliance with healthcare regulations. Proficient in understanding billing practices related to Behavioral Health and Mental Health, ensuring accurate reimbursement and adherence to privacy legislation.
Highest-signal resume keywords
Medical Billing ExperienceElectronic Medical Record ProficiencyUnderstanding of CPT and ModifiersKnowledge of HIPAA RegulationsBehavioral Health Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ReviewClaims SubmissionPatient Account ProcessingInsurance VerificationRoot Cause AnalysisDetail OrientationReimbursement PracticesCorrected Claims SubmissionUnderstanding of EAPBehavioral Health Carve Out Plans
Soft Skills
Attention to DetailCultural Competence
Tools & Technologies
AdvancedMD
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Behavioral HealthMental HealthCPTModifiersInsurance PayersCoordination of BenefitsPrivacy LegislationHealthcare Information
About the role
Key responsibilities & impact- Assist the National RCM Strategy team with accurate, detailed, and thorough review of claims billed to payers/insurance companies for reimbursement
- Coordinate with the Billing leadership team to ensure timely and accurate processing of patient accounts
- Perform claim-level responsibilities after national trends have been identified and root-caused
- Maintain current information on correct and lawful practices for billing payers
- Submit corrected claims to payers for reconsideration
- Review postings or resubmit claims to payers as needed
- Verify patient demographic information related to insurance status and coordination of benefits (COB)
- Review ERAs and understand charges, expected allowable, and actual allowable
Requirements
What you’ll need- High school diploma or GED equivalent required
- 1+ year of experience in a medical billing role
- 2+ years Behavioral Health/Mental Health space preferred
- Previous experience with an electronic medical/health record, preferably AdvancedMD
- Understanding of EAP and Behavioral Health carve out plans
- Understanding of CPT, modifiers, Mental Health provider types and how each impact reimbursement
- Understanding of associated privacy legislation related to healthcare information, i.e., HIPAA
- Strong attention to detail
- Must be legally authorized to be employed in the United States
- Experience working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other aspects of culture
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- AD&D insurance
- Short-term disability insurance
- Long-term disability insurance
- Life insurance
- 401k retirement savings with employer match
- Paid parental leave
- Paid time off
- Holiday pay
- Employee Assistance Program
- Fully remote work arrangement