Billing Specialist/Patient Accounts Rep

Patient Accounts Representative/Collector

The Pride Program is now part of Foundations Minnesota, a new entity designed to strengthen mental and behavioral health services, expand programming, and ensure long-term sustainability. This transition allows us to better meet the needs of our communities while also preserving the Pride Program's LGBTQ+ specialty outpatient track. Our Minneapolis outpatient location will continue offering the Pride Program's LGBTQ+ specialty track. In Eden Prairie, we are starting outpatient services to include anyone 18+ who needs substance use disorder (SUD) or co-occurring mental health support. Looking ahead, Primary Mental Health services will be added in 2026 to meet growing needs. This transition reflects our commitment to inclusive, high-quality care and positions us to serve more individuals with comprehensive behavioral health solutions.

Foundations Minnesota is seeking a Patient Accounts Representative/Collector. The Patient Accounts Representative/Collector is responsible for the billing, follow-up, and collection of assigned patient accounts. Any accuracy and timely follow-up on unpaid claims, by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs is also another responsibility of the position. Patient Accounts Representative/Collector will also meet or exceed established performance targets (productivity and quality) established. Initiates and follows-up on appeals recognizing the payer defined aging criteria. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate first pass resolution. Identifies noncollectable accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day to day processes and work flow standardization to drive maximum efficiencies across the team.

Benefits include: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan

Qualifications Job Requirements High School graduate or equivalent preferred. A minimum of one (1) years' experience in health care collections or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred. May be required to work flexible hours and occasional overtime. Knows and understands Minnesota Statutes Chapters 245G, 260E (Child Maltreatment), and 245A, 626.557 and 626.5572 (Vulnerable Adults). Thorough knowledge of CARF, state and federal regulatory requirements.