Medical Billing and Collections Specialist

Medical Billing and Collections Specialist

LearnWell is dedicated to supporting students with mental health conditions through a comprehensive range of academic and mental wellness services. Partnering with treatment facilities and school districts, we aim to improve educational and health outcomes for students facing mental health challenges, ensuring they receive the necessary support throughout their continuum of care.

LearnWell is seeking a Billing & Collections specialist to join an energetic team dedicated to expanding access to affordable, behavioral healthcare for our MA and NY practices. Our medical billing team plays a crucial role in ensuring the financial health of our organization by managing and optimizing the accounts receivable process. You will work closely with clinicians, insurance companies, patients, and internal departments to maximize revenue and minimize outstanding balances. This position requires attention to detail, strong analytical skills, and a deep understanding of medical billing in a behavioral health setting and collection processes.

The ideal candidate for the position will have extensive experience in various aspects of medical billing, including but not limited to claim submissions, prior authorizations, insurance appeals, and reprocessing efforts. This detail-oriented individual will thrive in a fast-paced environment and contribute to streamlined revenue cycle management.

We strongly encourage candidates with experience in smaller private practices or solo-provider offices to apply, especially those who are familiar with performing diverse billing functions and are comfortable supporting a full revenue cycle team.

This role places significant emphasis on patient collections, and we are specifically seeking someone who is confident and experienced in communicating with patients regarding balances, payment plans, and outstanding accounts.

Responsibilities:

• Ensure daily billing batches are cleared of all errors and ready for transmission
• Collect patient payments, update payment methods, and setup payment plans
• Conduct regular follow ups with payers and patients to ensure timely payment of outstanding balances
• Understand insurance benefits and eligibility utilizing online insurance portals.
• Read and interpret EOBs & ERAs
• Identify, research, and escalate discrepancies on patient accounts
• Return patient and clinician emails/voicemails within 48 hours of receipt
• Demonstrate strong understanding of EMR and RCM platforms
• Utilizes Microsoft Office (Excel) to analyze report data

Compensation & Benefits:

This position entails a 40 hour a week commitment, Monday through Friday remote.

• Starting annual salary is $45,000 to $48,000/year, based on experience
• We offer a generous package of paid time off including vacation time, sick time, and federal holidays. We also offer healthcare benefits that include medical, dental, and vision. Additional benefits include paid family leave options, 401K, employer sponsored life insurance policies, and opportunities for professional development.

Qualifications:

• Bachelors Degree required
• 2 or more years of experience in behavioral health medical billing
• Experience with high volume medical collections
• Bilingual (Spanish/English) is a plus

At LearnWell we are proud to be an equal opportunity employer!