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Medical Billing and Analytics Specialist

Company: Crossroads Treatment Centers
Location: Greenville
Posted on: February 16, 2020

Job Description:

Crossroads Treatment Centerswas founded on May 5, 2005 to serve a patient population with opioid addiction. Since its founding in 2005, the company has grown rapidly and now includes 80+ treatment centers in 10 states. Each member of the Crossroads team specializes in an area that supports the recovery of over 20,000 patients. Crossroads' clinical staff includes physicians, pharmacists, counselors, nurses, and other service coordinators. Along with medication management, our staff works closely with each patient to create an individualized treatment plan aimed at building recovery and relapse prevention skills.Crossroads Treatment Centers is looking for a Medical Billing and Analytics Specialist inGreenville, SC. This individual is responsible for background maintenance of the Accounts Receivable system. Tasks include company charge master rate setting, managed care payer rate set-up, government rates, as well as other commercial pay expected reimbursement profiles, security profile set-up and administration. Works with clinical, business office and accounting teammates in order to correctly and efficiently load necessary CPT code information into the billing system. Also collaborates with external vendors in order to address necessary system changes and upgrades.RESPONSIBILITIES / WORK REQUIREMENTS:

  • Able to maintain and enter multiple fee schedules/allowables for multiple payer types and states.
  • Maintenance of all support files such as provider, site, insurance, payment and adjustment files.
  • Run various analytical reports as assigned by the RCMExcellent attention to detail and ability to find rate discrepanciesRecommends, tests and implements system upgrades as necessaryUnderstands proper CPT code usage, and Medicare and Medicare billing standards.Month-end AR close reporting and system tasksRevenue and Collections analysis & KPI trackingREQUIRED EXPERIENCE AND TRAINING:
    Five years of experience with Medical AR billing, collections and clinical softwareGood knowledge and skills with MS Excel, Word, and PowerPointHealth care related certification or degree desired

Keywords: Crossroads Treatment Centers, Greenville , Medical Billing and Analytics Specialist, Accounting, Auditing , Greenville, South Carolina

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