Revenue Cycle Representative
Capitol Park Mental Health Hospital
Summary
Capitol Park Mental Health Hospital is seeking a detail-oriented Revenue Cycle Representative to join our Business Office team. This role is responsible for managing insurance accounts receivable, following up on outstanding claims, resolving claim issues, and ensuring timely reimbursement from third-party payors. We are looking for someone who understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients.
Job description
This role is Monday-Friday 8a-4:30p. The pay for this role is $23-$28/hour depending on qualifications and years of experience.
Responsibilities
- Follow up on outstanding insurance claims and resolve payment issues.
- Review, correct, and resubmit denied or rejected claims.
- Utilize claims clearinghouse systems to manage claim submissions and edits.
- Review and interpret Explanation of Benefits (EOBs) to ensure claims are processed and paid correctly.
- Complete account adjustments with supporting documentation.
- Maintain productivity standards of 30-40 accounts worked per day.
- Collaborate with Financial Counselors and Business Office leadership regarding reimbursement and eligibility concerns.
Qualifications
- High school diploma or equivalent required.
- Ability to read, understand, and analyze Explanation of Benefits (EOBs) and identify claim payment discrepancies.
- Prior admissions and or collections experience in a hospital setting required.
- Strong attention to detail and problem-solving skills.
- Psychiatric or behavioral health experience preferred.
- Experience with Avality or Medhost preferred.
Requirements
- High school diploma or equivalent required
- Ability to read, understand, and analyze Explanation of Benefits (EOBs) and identify claim payment discrepancies
- Prior admissions and/or collections experience in a hospital setting required
- Strong attention to detail and problem-solving skills
- Psychiatric or behavioral health experience preferred
- Experience with Avality or Medhost preferred
Company overview
Capitol Park Mental Health Hospital is a state-of-the-art behavioral health facility located in St. Paul, Minnesota, serving as a critical resource for mental healthcare in the Upper Midwest region. Established through a strategic partnership between Fairview Health Services and Acadia Healthcare, this 144-bed facility represents a significant advancement in mental health treatment infrastructure. The hospital specializes in providing comprehensive inpatient and outpatient services for adults and seniors facing mental health disorders, including depression, schizophrenia, bipolar disorder, PTSD, psychosis, and co-occurring substance use disorders. Operating with Joint Commission accreditation, Capitol Park employs evidence-based therapeutic approaches such as cognitive behavioral therapy, dialectical behavior therapy, and trauma-focused care within a patient-centered treatment model. The facility features a 105,500 square foot, five-story building designed with specialized therapeutic environments including anti-ligature safety features, gym facilities, outdoor garden spaces, and integrated primary care services. As an affiliate of Fairview Health Services, the largest mental healthcare provider in the Upper Midwest, Capitol Park Mental Health Hospital plays a vital role in expanding access to high-quality behavioral health services while maintaining a commitment to serving all patients regardless of their ability to pay.