CLAIMS PROCESSOR - MANAGED CARE

Claims Resolution Specialist - Behavioral Health – Exact Billing Solutions (EBS)
Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.
EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.
Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation.

Exact Billing Solutions was launched to address one of healthcare’s most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties.

Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including:

• 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)
• Are you an experienced behavioral health collections professional ready to take your career to the next level with a growing, fast-moving company? You could be our Claims Resolution Specialist—Behavioral Health, responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients.

We work with multiple expanding clinic locations, so timely collections are critical to our operations. The work you will do can make a real difference in the lives of client families and kids by allowing our partners to open clinics where they are desperately needed.
Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims.
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement.
Document all collection activities clearly and accurately within our systems.
Meet or exceed daily, weekly, and monthly productivity and quality standards.
Support special projects and process improvement initiatives as assigned.
Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
Status claims and add notes in the patient accounting system (CollaborateMD)
Escalate any payor or client claim issues to department leadership
Behavioral health out-of-network billing: Knowledge and experience with CollaborateMD EMR and billing software programs
Claims denial experience with follow up from payers including appeals
21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).

• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Medical, dental, vision, long-term disability, and life insurance.
• All our team members exhibit these qualities when it comes to doing business. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. Department of Homeland Security E-Verify program.