Billing / Collections Specialist

Billing And Collection Specialist

The Billing And Collection Specialist will be working out of MeadowWood Behavioral Health Hospital in Delaware. This position will be responsible for accurate, timely, and complete documentation regarding insurance verification, billing and collections.

Belmont Behavioral Health System is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children, adolescents, adults, and older adults who are suffering from psychiatric concerns and chemical dependency.

Essential Functions

• Position is eligible for Hybrid / Remote model after 90 days. 3 days remote / 2 days in office
• Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems
• Verifies Medicare, Medicaid and Commercial benefits and prior authorizations
• Identifies deductible, co-insurance and co-pay due per EOBs received
• Compiles appropriate information for refunds, bad debt write-offs, and adjustments
• Types, assembles, copies, files and processes data required in an accurate and timely manner.
• Making telephone calls, writing letters, and/or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
• Handling and interpreting medical documentation such as UB04 claim form, 1500 claim forms and EOB's.
• Analyzing and interpreting documents, contracts, notes, and other correspondence
• Writing appeals to insurance carriers to overcome denials.
• Manage an extensive portfolio of claims by prioritizing and organizing time effectively
• Comply with privacy laws and patient's needs.
• Overcome obstacles by using effective information gathering and problem solving methods.
• Participates in monthly AR reviews with Management Team.

Education/Experience/Skill Requirements:

• High school diploma or equivalent required.
• Three or more years' experience in related field required.
• Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required.