Description

Since 1974, Alpert Jewish Family Service (Alpert JFS), a 501(c)(3) not-for-profit organization, has strengthened and enriched the lives of men, women and children of all ages. We do this through a continuum of focused programs addressing the well-being of children and families of all ages, the independence and well-being of older adults, and the optimal quality of life for individuals with special needs. 

Working for a non-profit is a choice. Working for Alpert JFS is a choice. All of our employees continue to make this choice because we believe in our mission to help people during challenging times in their lives. We realize you have a choice and hope you choose to apply.

The Medical Billing and Collections Specialist works closely with insurance claims, payments, and any issues that might arise with a client’s account. This is a hybrid position.  

Medical Billing and Collection Specialist Essential Responsibilities include but are not limited to:

• Manage Accounts Receivable balances by reviewing the accuracy of the statements; this includes but is not limited to sliding scale fees and copay reductions
• Verify insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received 
• Review and address any unpaid claims
• Timely and efficient research of claims for non-payment, exceptions, exclusions, and denials including following up with insurance companies and clients regarding discrepancies
• Inform the Behavioral Health Program Director of claim status 
• Initiate payments and resubmit bills as necessary
• Respond to clients, insurance companies, and clinicians’ inquiries
• Review client payment plans for compliance and thoroughly documents result
• Ability to research and collect the required information to process claim denial appeals promptly
• Respond to all client or insurance inquiries telephone or written
• Conduct other billing duties, such as verifications and authorizations
• Prepare, review, and transmit new and unpaid claims using billing software including electronic, website submission, and paper claim processing, within standard billing cycle timeframe
• Make corrections to demographic information as requested by the insurance company
• Ability to read and accurately interpret insurance Explanation of Benefits (EOBs)
• Coordination of Benefits (COB) – Must be able to identify and bill all parties (secondary, etc )
• Other responsibilities as assigned

Requirements

• High School Diploma or GED.
• Proven experience in claim processing and collections with a minimum of two years of experience
• Experience using an Electronic Health Records System (Welligent preferred)
• Advanced skills in MS Office Suite (specifically Excel and Word) and the demonstrated ability to learn other software programs

We offer a competitive salary, medical, paid vacation and sick time, paid holidays, Public Service Loan Forgiveness, 403b, EAP

Equal Opportunity Employer Minorities/Females/Disabled/Protected Veterans

Drug Free Workplace