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Full-Time Billing and Accounts Receivable Specialist
Our acute adolescent behavioral health facility is seeking a dedicated Full-Time Billing and Accounts Receivable Specialist to support insurance billing, accounts receivable follow-up, payment posting, claim corrections, communication triage, and patient account management.
This position is ideal for an experienced billing professional with knowledge of commercial insurance and Medicaid billing, preferably in a behavioral health inpatient, mental health, or acute care setting.
The ideal candidate is compassionate, detail-oriented, organized, and proactive in helping patients and families navigate billing, insurance, payment questions, and account balances with professionalism and care. This individual should be willing to work through complex insurance issues with the rest of the care team and approach complex situations with an attitude of partnership, problem-solving, and follow-through.
Qualifications
Education
High school diploma or GED required. Associate degree or certification in medical billing, medical coding, health information management, or a related field strongly preferred.
Experience and Skills
- Two to three years of experience in medical billing, claims follow-up, accounts receivable, or revenue cycle operations required, preferably in a behavioral health inpatient, mental health, or acute care setting.
- Experience with accounts receivable follow-up, payer denials, claim corrections, payment posting, and insurance billing strongly preferred.
- Knowledge of Medicaid and commercial insurance requirements preferred.
- Knowledge of behavioral health inpatient billing, insurance requirements, and payer processes strongly preferred.
- Willingness to learn authorization and utilization review processes and support related tasks as needed.
- Strong customer service skills and professional phone manner.
- Excellent time management, organization, and follow-through.
- Ability to work through complex insurance and billing issues in partnership with internal care team members.
- Ability to work independently with minimal supervision.
- Ability to maintain confidentiality and professionalism at all times.
- Reliable transportation and ability to work on-site required. Current CPR and First Aid certification required or ability to complete certification upon hiring decision.
Responsibilities
Billing and Accounts Receivable Responsibilities
- Submit claims and reimbursement requests to Medicaid, commercial insurance, and other applicable payers.
- Accurately enter charges, process claims, post payments, and maintain timely billing workflows.
- Monitor accounts receivable and follow up on unpaid claims.
- Review payer denials, rejected claims, and billing discrepancies.
- Correct and resubmit claims as needed.
- Post insurance payments, patient payments, adjustments, and other account activity accurately.
- Triage incoming billing and insurance communications received by email, mail, and fax.
- Route correspondence, payer requests, EOBs, remittance documents, and other communications to the appropriate team members or workflows.
- Work with patients and families regarding billing questions, account balances, self-pay arrangements, and payment plans.
- Initiate private-pay follow-up and collections processes according to company policy.
- Maintain accurate, confidential, and organized billing documentation.
- Adjust patient accounts accurately and appropriately according to company policies and established criteria. Learn authorization and utilization review support processes and assist with related tasks as needed.
Schedule and Work Expectations
This is a full-time, on-site position. The primary schedule is weekdays.
The candidate must be able to work independently, manage competing priorities, communicate professionally, collaborate with internal team members, and maintain strict confidentiality in accordance with company policy and applicable healthcare privacy requirements.
Application Requirements
Please include a resume and a brief cover letter or paragraph explaining your interest in this position, including your experience with billing, accounts receivable, insurance, Medicaid, or healthcare revenue cycle operations.
Please also provide three professional references.
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