The Harris Center for Mental Health and IDD ("The HARRIS CENTER") is looking for a Revenue Representative Appeals to join our team. Under the general direction of the Appeals and Collections Manager, the Appeals and Collections Representative assists the department in reimbursement maximization via collections with payors and consumers to ensure payment is received in order to meet collections targets. Assist the department in reimbursement maximization in processing denials from payors to meet collection targets.
What you will do: Process reports of outstanding balances and denials from all from 3rd Party Payers. Analyze Explanation of Benefits to determine is an appeal should be made and by what method. Complete the appeal and collection and/or follows necessary steps to ensure balance is paid or adjusted to zero as appropriate. Manage outstanding Accounts Receivable from 3rd party payer as necessary to ensure payments. Process reports of outstanding balances . Place call to payer to inquire on status of claim. Follows necessary steps ensure balance is paid or adjusted to zero as appropriate. Maintains tracking notes in the denial database. Reviews status on previous appealed or pended claims to ensure that a previously appealed or pended claim has been resolved within the established timeframe. Researches all notifications of Payment Recoupments. Identifies appeals problems or areas of concern. What qualifications you will need: High School Diploma or General Education Diploma. Must have one year of reimbursement experience. Must be proficient with ICD-9, CPT coding and computer database program. Must be computer literate, have knowledge of excel, proficient with 10 key use software effectively. The person must have well-developed interpersonal, organizational and problem solving skills and be a team player with a desire to provide a high level of customer service; possess strong verbal and written communication skills and interact effectively at all levels within the organization. Strong leadership and interpersonal skills. Should have excellent written, verbal and communication. Ability to maintain absolute confidentiality of all work-related matters and ability to communicate effectively and tactfully with all levels of the agency. What we have to offer: The HARRIS CENTER offers competitive salary, excellent benefits package, retirement plans with company matching, prior service credit towards generous PTO accrual, outstanding wellness programs and professional development. Employees can also take advantage of business casual dress code, corporate discounts, and gym memberships. New hire referral bonus, discounts are also available on an optional basis. These include mobile phone service, fitness centers and other wellness amenities.
What else you should know: #113405
This position is located at 9401 Southwest Freeway, Houston, TX 77074.
About us: The HARRIS CENTER is the state-designated Local Mental Health Authority and Local Intellectual and Developmental Disability (IDD) Authority serving Harris County, Texas. As the largest behavioral and developmental disability care center in Texas, The HARRIS CENTER provided care to over 79,000 people in fiscal year 2019 and has an annual budget of over $275 million.
As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The HARRIS CENTER provides a full continuum of services at 86 different sites across Harris County. In addition, services are provided in more than 42 different languages as well as sign language in order to better serve what is one of the most diverse and multi-cultural communities in the nation.
By utilizing the unique expertise of its more than 2,300 employees, The HARRIS CENTER is committed to meeting the behavioral health and IDD needs of Harris County residents and giving them hope to live to their fullest potential.
The Harris Center for Mental Health and IDD ("The HARRIS CENTER") is an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status.
The HARRIS CENTER does not accept unsolicited agency resumes and will not pay fees to any third-party agency or company that it does not have a signed agreement with.
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