BEFORE APPLYING PLEASE NOTE THAT THIS POSITION REQUIRES SOMEONE WITH A MINIMUM OF TWO YEARS EXPERIENCE IN COLLECTIONS AND BILLING IN A BEHAVIORAL HEALTHCARE COMPANY. IF YOU DO NOT POSSESS THIS EXPERIENCE PLEASE DO NOT APPLY:
Responsible for collection of delinquent behavioral health patient accounts.
Essential Duties and Responsibilities
Understands billing requirements for contracted and commercial payers.
Reviews EOB for proper reimbursement.
Monitors contracts and single patient agreements to ensure appropriate reimbursement is received.
Ensures timely filing requirements are met and claims are followed up on in a timely and appropriate manner to eliminate timely filing denials and non-payment of claims.
Responsible for any special projects related to obtaining appropriate and timely reimbursement of claims outstanding.
Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
Follows up on denials in a timely manner and proactively communicates any denial issues related to billing requirements.
Follows up on unpaid/unresolved account balances on a daily basis and notates follow up response on patient accounts.
Completes re-bill request as necessary to facilitate timely and proper claims payment.
Performs various collection actions including contacting third party payers or patients by phone, resubmission of claims for appeal process.
Evaluates patient financial status and establishes budget plans.
Answer inquiries and correspondence from patients and insurance companies to facilitate payment.
Identifies and resolves patient billing complaints.
Performs other duties as assigned.
Knowledge, Skills and Abilities
Demonstrates knowledge of patient account policies.
Understands commercial compliance regulations related to behavioral healthcare billing and accounts receivable management and where to locate the regulations.
Demonstrates understanding of both UB04 claim form and CMS 1500 claim form.
Knowledge of medical billing/collection practices
Knowledge of basic medical coding and third-party operating procedures and practices.
Demonstrates ability to work effectively with and interact with patients and co-workers in a professional, caring and courteous manner that adheres to FRN's Mission and Statement of Values.
Understands and maintains confidentiality at all times.
Must be proficient in Microsoft Word and Excel.
Education and Experience
Minimum of two years experience in a behavioral healthcare setting REQUIRED
Minimum High School diploma or GED
Minimum of two years of medical collection experience
Experience with paper and electronic claims filing
Work Environment and Physical Demands
Work hours are Monday thru Friday and business hours are 7:00 a.m. to 4:30 p.m.
Ability to read, write and analyze detailed and complex data.
Ability to communicate effectively both verbally and in writing.
Ability to sit for long, extended periods in one fixed location.
Strong mathematical acumen required.
CareerBuilder - 9 months ago