Job Information
Burrell Behavioral Health Recoupment Representative, Client Financial Services in Springfield, Missouri
Job Description:
Job Title: Recoupment Representative
Location: Springfield, Missouri
Department: Client Financial Services
Employment Type: Full-Time
Shift: Mon-Fri 8am-5pm
Job Summary:
Are you a passionate and dedicated professional looking to make a positive impact in the financial operations of our healthcare organization? Do you want to work in a supportive and dynamic environment where you can grow your skills and advance your career? Join our team as a Recoupment Representative, Client Financial Services!
As a Recoupment Representative, Client Financial Services, you'll review and process insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances. You'll collaborate and work with team members throughout the system to recover funds. Our ideal candidate is passionate about financial services in healthcare, has experience in billing, collections, or payment processing, and strong analytical and communication skills.
Springfield, Missouri offers a high quality of life, with a vibrant community, affordable cost of living, and beautiful natural surroundings. Join us in ensuring financial excellence and advancing your career!
The Recoupment Representative position offers…
All-Inclusive Employee Benefits Package- A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, and more
Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
Employee Assistance Program– 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
Paid Time Off - 29 days per year including vacation & holiday pay
Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement
Key Responsibilities:
Collaborate with the Compliance department to manage audit repayments and ensure thorough tracking for completeness.
Analyze accounts receivable balances to identify and address insurance credit balances requiring resolution or repayment.
Assess client payment credit balances on accounts and take necessary actions for resolution or repayment.
Prepare refund request forms and compile supporting documentation for submission to the Accounts Payable department for repayment or initiate recoupment processes.
Assist Compliance in repayment of services identified within an internal audit review for federally funded payers.
Initiate and release guarantor holds in the electronic health system for client charts where an internal audit is being conducted.
Review and validate insurance overpayment letters for federal and non-federal payers.
Dispute requests for overpayment as necessary.
Address client credit balances and review services for insurance payer credit balances.
Respond promptly to phone calls or emails regarding credit balance resolution or refunds.
Process check refund requests with proper documentation in the electronic health system.
Monitor and initiate voided claims, following through to recoupment.
Document workflows.
Perform other duties as needed.
Education and/or Experience Qualifications:
High school diploma or General Educational Diploma (GED) is required.
Preferably certified in Billing and/or Coding.
At least two years of experience in a healthcare setting, with a focus on billing, collections, payment processing, or denial management.
Experience with Missouri Certified Community Behavioral Health Organization (CCBHO) and managed care organization (MCO) billing is advantageous.
We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.
Burrell is a Smoke and Tobacco Free Workplace.
About Brightli
Brightli is on a mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. We are doing this by forming a new behavioral health organization under new model. Under one parent company, multiple organizations are able to collaborate, share resources and system supports, increase recruiting and retention efforts, increase access to specialized care, and meet the growing demand for behavioral and addiction recovery care.
Brightli’s top-line subsidiaries include Burrell Behavioral Health (Burrell), Preferred Family Healthcare (PFH), Southeast Missouri Behavioral Health (SEMO), Firefly, Adult and Child Health, and Places for People. While these organizations operate independently and are governed by separate board of directors, their operations and services benefit from this model. Alone, organizations may be able to navigate the current tumultuous healthcare environment, but we believe that together we can do so much more than survive. Our communities need us now more than ever, and by working together we are ready to answer their call for years to come.
Brightli Snapshot
200 locations
4 states
19 subsidiaries and/or affiliates
5k+ employees
