Revenue Integrity Coordinator

Responsibilities

• Claim level responsibilities are performed after a national trend has been identified and root caused
• Maintain current information on correct and lawful practices for billing payers
• Claim level actions to submit corrected claims to payer(s) for reconsideration
• May include some posting review or actions to resubmit claims to a payer
• Verify patient demographic information as it related to status of patient's insurance as well as COB
• Review of ERA's received and understanding of charges, expected allowable and actual allowable

Requirements

• High school diploma or GED equivalent requir ed
• 1+ year of experience in a medical billing role
• 2+ years Behavioral Health/Mental Health space preferably
• Previous experience with an electronic medical/health record, preferably A dvancedMD
• 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
• Qualified candidates must be legally authorized to be employed in the United States
• Demonstrates awareness, inclusivity, sensitivity, humility, and experience in working with individuals from diverse ethnic backgrounds, socioeconomic statuses, sexual orientations, gender identities, and other various aspects of culture
• Physical Requirements:
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• #LI-Remote
• #LI-KO1
• LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.

Benefits

Additional Information

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team! LifeStance Health Values Belonging: We cultivate a space where everyone can show up as their authentic self. Empathy: We seek out diverse perspectives and listen to learn without judgment. Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it. One Team: We realize our full potential when we work together towards our shared purpose.

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