AR & Collections Specialist

CASA PACIFICA CENTERS FOR CHILDREN & FAMILY•Camarillo, CA

4d•$24 - $36•Onsite

About The Position

Carries out the mission of Casa Pacifica as it pertains to managing revenue and accounts receivable and is responsible for medical billing, verification of benefits (VOBs), and collections. Works in a team environment under the direction of the Accounting Manager. The AR & Collections Specialist is responsible for ensuring that strong revenue recognition and collection principles, practices and procedures are implemented and maintained.

Requirements

3+ years of experience in medical billing, with a strong focus on private insurance.
Experience in the mental health industry is highly desirable.
Solid understanding of insurance billing practices, including both in-network and out-of-network carriers.
Extensive experience with verification of benefits (VOBs), insurance authorizations and collections/ appeals / denials on delinquent accounts.
Strong knowledge of medical coding, billing software, and revenue cycle management tools.
Excellent communication and interpersonal skills, with the ability to interact effectively with patients, insurance carriers, and clinical staff.
Strong problem-solving skills and the ability to handle complex billing issues.
Associate degree in Business or Finance or related field or equivalent experience in accounting environment.
Minimum of three years of experience and in-depth knowledge of healthcare billing, coding, and collections.
Ability to read and interpret documents such as insurance requirements, authorizations, and coverages, safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to respond to inquiries from internal and external stakeholders and third-party payers.
Ability to write reports and business correspondence and procedure manuals.
Ability to effectively present information and respond to questions from managers.
Strong analytical and problem-solving skills to identify and address billing issues promptly.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to work with and apply mathematical concepts.
Meticulous attention to detail to ensure accuracy in billing and coding.
Advanced level Microsoft Excel expertise required.
Proficiency in medical billing software and Electronic Health Record (EHR) systems.
Knowledge of healthcare billing processes, coding systems, regulatory requirements and familiarity with insurance claim processing and reimbursement methodologies.

Nice To Haves

Experience in the mental health industry is highly desirable.
Experience in Avatar and REV Connect is highly desirable.

Responsibilities

Effectively manage collections of outstanding balances, working with insurance carriers and patients to ensure timely payments.
Monitor and track claim status, following up with insurance carriers to ensure payments are received promptly.
Troubleshoot and resolve billing issues, ensuring compliance with insurance guidelines.
Implement strategies to reduce accounts receivable days and improve cash flow.
Develop in-depth understanding of all aspects of medical billing, including submission of claims, payment posting, and reconciliation for private insurance.
Conduct verification of benefits (VOBs) for patients, ensuring accurate insurance information is obtained.
Maintain a strong understanding of commercial insurance carrier billing requirements, both in-network and out-of-network.
Collaborate with the billing and clinical teams to ensure accurate coding and documentation.
Stay current on healthcare billing regulations, coding changes, and compliance requirements.
Ensure that billing practices align with federal and state regulations, as well as with the policies of 3rd party payers.
Generate and analyze reports related to billing performance, reimbursement rates, and other key financial metrics.
Implement strategies to reduce accounts receivable days and improve cash flow.
Collaborate closely with the Accounting Manager to facilitate revenue analysis and support audit processes, ensuring comprehensive coordination and alignment across the department.
Work on special projects as assigned.

Benefits

Competitive Wages
Comprehensive Benefits package, including 401k with up to 5% fully vested employer matching contributions made after first year of service
Medical, Dental & Vision Insurance options
Flexible Spending and Dependent care programs
Excellent Training opportunities
Education/Tuition Assistance programs
Group Discount Pet Insurance
Aflac Critical Illness, Accidental & Dental supplemental plan options
Employee Assistance Program
Free Confidential Crisis Line 24/7 (365 days a year) 4 face-to-face or telephonic sessions per issue, i.e., Stress, Anxiety, Depression Life transitions Grief and Loss Divorce Conflict Resolution Substance Abuse Work-Life Counseling
Free Legal and Financial Consultations
Identity Theft Recovery Services