What are the responsibilities and job description for the Billing Specialist position at crossroadshealth?
Crossroads Health, a 501(c)(3) non-profit organization with facilities located in Mentor, Painesville, and Cleveland, serves Northeast Ohio communities with comprehensive behavioral and primary integrated healthcare, early childhood services, extended housing and recovery services—no matter one’s ability to pay. Our mission is to provide hope, healing, and healthcare to everyone.
The Billing Specialist is responsible for the billing, payment posting, and collection of Crossroads’ accounts receivables. Parties responsible for payment include but are not limited to the client, third party insurances, Medicaid and the ADAMHS Board. It includes establishing clients and/or updating demographic information on the billing system, verifying all aspects of a client’s payment arrangements, recording payments, and expediting the collection of payments and resolution of past due accounts.
More specifically, this position is responsible for:
Accounts Receivable: Responsible for billing clients, MACSIS (ADAMHS Board, Medicaid), insurances and all other potential billing parties in a timely manner. Verify client insurance coverage, request additional billing information from all sources if needed, record all billing payments made by all parties. Work within the team and payer structures to reduce outstanding accounts receivable. Assist in efforts that resort in additional reimbursement for Crossroads Health.
Administration: Maintains current and accurate client balances and provides monthly billing statements for client portion. Maintains and updates insurance company correspondence, changes and mailing list.
Collections: Review's payment remittance for full benefit reimbursement. Resolves outstanding balances due to partial or nonpayment activity.
Payer Denials: Following up all claims that have been denied by payers to determine needs and effectively turn the denial into payment based on payer guidelines.
Position Requirements:
Education:
• High school diploma or equivalent
Experience:
• Two (2) years of experience in a Billing Specialist (preferred)
• Experience in the healthcare, nonprofit sector (preferred)
Licensure/Certifications:
• BLS/CPR/First Aid (as applicable, company provided)
Our organization is committed to equal employment opportunity. We do not discriminate against employees or applicants on the basis of race, color, religion, gender/sex (including pregnancy, childbirth, and pregnancy-related conditions), sexual orientation, gender identity, national origin, age, physical or mental disability, veteran status, uniform service member status, genetic information, or any other status protected by law. We are a drug free work environment and all new hires are required to pass a 10 panel drug screens which includes screening for THC.