What are the responsibilities and job description for the Medical Billing and Accounts Receivable Specialist position at Eliada Homes, Inc.?
Description
Position Summary:
The Medical Billing & Accounts Receivable Specialist is responsible for managing behavioral health billing operations and related accounting functions. This position plays a critical role in the organization’s revenue cycle through insurance claims processing, payment posting, accounts receivable follow-up, reconciliations, and audit support. The role requires strong attention to detail, knowledge of medical billing regulations, and effective collaboration with clinical and finance teams to ensure timely and accurate reimbursement.
Major Responsibilities:
1. Review, submit, and follow up on mental health insurance claims, ensuring timely reimbursement in accordance with payer requirements. Work closely with the Authorizations/Reimbursement Specialist to analyze monthly mental health revenue and resolve non-billable services. Serve as back-up for authorizations and behavioral health billing as needed.
2. Post daily cash receipts in Echo and MIP, including mental health payments, HRA payments, and daily bank deposits into the operating account.
3. Serve as Echo system billing support, including setup and transmission of 837 electronic claims files and modifying Crystal Reports as needed.
4. Maintain working knowledge of contractual billing requirements for MCO contracts, DSS financial agreements, payer rules, CPT/diagnostic coding, and billing deadlines. Ensure all required documentation is submitted accurately and on time for each billing cycle.
5. Perform reconciliation of assigned accounts, including SSI, student accounts, student allowances/work study, inventory, copier usage, Account 2017, centralized purchasing, postage usage, and bank accounts.
Other Responsibilities:
1. Prepare and review Weekly Mental Health Aged Receivables and actively follow up on all delinquent accounts over 45 days.
2. Collaborate with the Staff Accountant and/or CFO to reconcile balance sheet items including SSI, Echo receivables, and inventory accounts.
3. Assist with preparation of the annual financial audit.
4. Support quality service delivery through participation in the agency’s Continuous Quality Improvement (CQI) process.
5. Perform select accounts payable functions as assigned.
6. Demonstrate competence and responsiveness to cultural differences within both client and employee populations.
7. Perform other related duties as assigned by the CFO
Requirements
Qualifications:
A minimum of a high school diploma; prefer degree or equivalent experience in accounting, billing, or a related field from an accredited college or university.
Knowledge:
Knowledge of basic accounting skills; insurance claims submissions and reimbursement methods; working knowledge of Word and Excel; adaptability in learning to use billing software; ability to communicate effectively; personality to effectively follow-up on outstanding items.
Experience:
Experience in insurance billing and accounting required; knowledge of CPT codes and DSMIV or ICD9 codes helpful.
Skills/physical/working conditions:
This position requires excellent organizational skills, with prompt, self -directed follow-up
Salary : $18 - $20