Experience -

3 years in Behavioral Health – residential and outpatient clinic

2 years in Aged AR cleanup

2 years working denials

2 year writing appeals (including authorizations)

Manual payment posting experience preferred, not required

Nextgen, Medics Premier, Meditech or Medisoft billing software experience preferred, not required

High level of proficiency with PC based software programs, especially Excel

Qualifications:

• Ability to solve problems, prioritize and multi-task in a deadline driven environment
• Work with little to no supervision
• Able to work in a team environment and interact positively with team members
• Goal oriented, with excellent time management and organizational skills
• Excellent verbal & written communication skills
• Keenly attentive to detail
• Ability to keep sensitive information confidential
• Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems

Duties:

• Ensure timely follow up on all unpaid claims utilizing aging reports. Work accounts thru to resolution. 
• Effective communication abilities for phone contacts with insurance payers to resolve claim payment issues. Able to utilize insurance company websites effectively to research and resolve outstanding AR. 
• Research and determine reason for non-payments. Resolve any discrepancies, work denials, submit appeals. 
• Resubmissions and corrected claims as needed. 
• Properly notate system of all collections activities. 
• Properly review, respond and maintain all insurance documentation, timely. Find and interpret EOBs. 
• Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
• Read and properly interpret client ledgers. 
• Manually post identified missed payments. 
• Research and validate authorizations, appeal claim denials for authorizations. 
• Follow all department standard operating procedures carefully and accurately.