Overview: Learn Behavioral has an exciting opportunity for a temp to hire billing and collections specialist. We are the leading network of providers serving children with autism and other special needs. Our mission – to find success for every child in our care. The Billing Specialist is responsible for timely and accurate claim billing and collections activities for accounts receivables across multiple business lines, systems and data sources, including interactions with third party payers and client/patients.
Responsibilities:Essential Job Responsibilities
- Submission of claim billing and accounts receivable follow-up of claim to third party payers.
- Billing of secondary insurance through paper claims or electronic submission of bills for reimbursement from third party payers.
- Review of and correction of all claims/errors through the clearinghouse.
- Ensuring billing and collections is completed in a timely and accurate manner, adhering to payor timely filing requirements.
- Ensure claims are processed properly for submission to payers, ensuring all acknowledgements and payer reports are received and processed timely.
- Provide research and analysis of billing discrepancies and short payments.
- Research and resolve denials timely using payor websites and calling payors for clarification or requests to reprocess.
- Submit invoices to client/patients for unpaid co-pay and insurance deductible amounts.
- Communicate with client/patients about account status.
- Communicate with upper management with regards to discrepancies and billing complaints.
- Provide reports on billing activities as requested.
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Qualifications:Skills and Attributes:
- Excellent verbal and written communication skills.
- Ability to interface with all levels of management and clinical staff.
- Excellent organizational skills and attention to detail.
- Ability to multitask and maintain thoroughness.
- Adaptable to change.
- Good analytical skills and reasoning ability.
- Customer service experience ideal.
- Strong computer skills. Microsoft Excel experience is a must.
Education and Experience- A BS/BA degree in Finance, Accounting or Related Field from an accredited college/university, preferred.
- A minimum of 2-3 years of experience in healthcare billing/accounts receivable/revenue cycle. Private equity experience highly preferred.
LEARN Behavioral is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.