Biller/Collector

Biller/Collector

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SHC-Lafayette - Lafayette, LA 70508

Accounts Receivable Specialist

Accounts Receivable Specialist Behavioral Health Revenue Cycle

Lafayette, LA

Position Summary

At SUN Behavioral Health, our mission is to partner with communities to solve the unmet needs of those living with mental illness and substance use disorders. We are seeking a detail-oriented and driven Accounts Receivable Specialist to join our Revenue Cycle team. In this role, you will manage insurance billing, claims follow-up, denial resolution, and account reconciliation for inpatient and outpatient services. The ideal candidate has a strong understanding of healthcare reimbursement, insurance contracts, and accounts receivable processes, along with a passion for accuracy and continuous improvement.

Key Responsibilities

• Review and submit accurate inpatient and outpatient claims in a timely manner.
• Verify authorizations and ensure services billed align with approved treatment.
• Analyze patient accounts for accuracy and completeness prior to claim submission.
• Follow up on unpaid claims and resolve denials through appeals and payer communication.
• Review insurance payments for contractual compliance and payment accuracy.
• Bill secondary and tertiary insurance carriers as applicable.
• Resolve account discrepancies, credit balances, and reimbursement issues.
• Reconcile patient accounts using payer contract guidelines.
• Maintain accurate documentation within the Electronic Health Record (EHR) system.
• Obtain single-case agreements with non-contracted insurance companies when needed.
• Meet productivity and quality standards while maintaining accuracy.
• Collaborate with Intake, Utilization Review, Medical Records, and other departments.
• Ensure compliance with HIPAA, OSHA, payer regulations, and organizational policies.
• Identify opportunities for process improvement and operational efficiencies.

Qualifications & Requirements

• High School Diploma or GED required.
• 12 years of healthcare billing, accounts receivable, medical collections, or related revenue cycle experience required.
• Knowledge of insurance payer rules, regulations, and reimbursement processes.
• Strong analytical, organizational, and problem-solving skills.
• Proficiency with Microsoft Excel and general computer applications.
• Excellent attention to detail and ability to manage multiple priorities.
• Understanding of HIPAA compliance and patient confidentiality requirements.
• Bachelor's degree in Healthcare Administration, Business, or related field preferred.
• Experience with ICD-10, CPT, HCPCS coding, EOBs, Medicare, Medicaid, managed care, and commercial insurance preferred.
• Behavioral health billing experience preferred.
• Experience with HCS systems is a plus.

About SUN Behavioral Health

SUN Behavioral Health partners with communities to solve the unmet needs of those living with mental illness and substance use disorders. We are committed to providing compassionate care while fostering a culture built on integrity, teamwork, safety, and service excellence.

Benefits

• Competitive paid time off (PTO)
• Medical, dental, and vision insurance
• 401(k) retirement plan with company match
• Company-paid short-term disability and life insurance
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• Employee Assistance Program (EAP)
• Employee referral program

Equal Employment Opportunity

SUN Behavioral Health is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or disability in accordance with local, state and federal laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

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