Billing Specialist

Billing Specialist

Harbor is seeking a Billing Specialist to join the Toledo team! This individual is responsible for timely, effective and efficient revenue cycle tasks to ensure accurate claim submission and receipt of payment.

Position is full-time, 40 hours per week.

Education/Experience/Other Requirements :

• Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
• Previous coding experience in a behavioral healthcare setting preferred.
• Strongly prefer prior experience in customer service and behavioral health setting.
• Must have strong attention to detail and be able to communicate effectively with various individuals.
• Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
• Must be able to establish daily work priorities and work independently and efficiently to meet deadlines.
• Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.

Essential Job Competencies/Primary Duties:

1. Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
2. Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
3. Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
4. Monitors dashboard and runs reports routinely to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
5. Monitors and completes paper correspondence follow-up from assigned payers in a timely and efficient manner.
6. Investigates denials from payers and initiates timely follow up.
7. Monitors aging and ensures timely filing and payment of claims.
8. Identifies trends in claims denials and effectively communicates potential project opportunities for payer issues with Claims Coordinator.
9. Participates in various aging clean-up projects when required.
10. Keeps current with trends and developments related to essential job competencies and demonstrates continued growth.

About Harbor:

• A leading provider of mental health and substance use treatment for over 100 years.
• 350+ clinical staff serving over 24,000 clients annually across multiple locations and within the community.
• Services include counseling, medication management, primary care, psychological testing, case management, substance use treatment, residential services, vocational programs, and more!

Why Work for Harbor?

• Medical, dental, and vision coverage
• Retirement plan with company match
• Generous paid time off, sick time, and paid holidays
• Tuition and professional license reimbursement programs
• Clinical supervision hours offered
• Opportunity to make a difference in your community!

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.