Healthcare Billing Specialist

Clinica•Lafayette, CO

65d•Hybrid

About The Position

As our Billing Specialist, you will work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management. You will ensure that our receivables are entered and processed while maintaining customer/client support in a trauma-informed approach. You will report to the AR Supervisor. You will be in a hybrid setting, coming to the Lafayette, CO office twice per week. Job Profile: Do you have experience complete billing process with Medicaid regarding mental and behavioral health, including substance use disorders (SUD), submitting claims to assigned payers within filing requirements? Are you accurate in posting payments? Do you have experience following-up on all rejections, denials, and past due accounts to maximize collections? Are you good at resolving problems regarding billing failures and re-bills for assigned payers and accounts? You will prepare and complete the deposit process daily from start to finish including copying, tracking, and maintaining accurate files and recording in the General Ledger. Have you completed worked with refunds, unclaimed funds, and escheatment process for assigned payers? In your experience, have you responded to requests for information from customers (internal and external), work with other staff, clients or external third-party payers to resolve problems, challenges, or systemic issues? If this sounds like you, it may be a good time to join us at Mental Health Partners and grow your career with us. Today is the day to apply with us!

Requirements

High School diploma or equivalent required.
Three (3) years recent accounts receivable/customer service experience in mental healthcare Medicaid billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance.
As a condition of employment, you will be required to receive the annual influenza vaccine. Medical exemptions or religious accommodations may be requested.

Nice To Haves

Post high school business training desired.

Responsibilities

Work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management.
Ensure that our receivables are entered and processed while maintaining customer/client support in a trauma-informed approach.
Complete billing process with Medicaid regarding mental and behavioral health, including substance use disorders (SUD), submitting claims to assigned payers within filing requirements
Posting payments
Following-up on all rejections, denials, and past due accounts to maximize collections
Resolving problems regarding billing failures and re-bills for assigned payers and accounts
Prepare and complete the deposit process daily from start to finish including copying, tracking, and maintaining accurate files and recording in the General Ledger.
Worked with refunds, unclaimed funds, and escheatment process for assigned payers
Responded to requests for information from customers (internal and external), work with other staff, clients or external third-party payers to resolve problems, challenges, or systemic issues

Benefits

Medical (Kaiser and Cigna options), dental, vision, FSA, HSA, life, disability, and retirement (with company match) plans
Paid time off, paid holidays, and a comprehensive wellness program
Commitment to Justice, Equity, Diversity, and Inclusion work
Company contribution to student loans
Engaged employer who believes you are an important factor in delivering our mission to the community with lots of opportunity to for dialogue with leaders
Training, personal, and professional growth opportunities

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