Medical Accounts Receivable Specialist

Relief Mental Health -

About Us:

Relief Mental Health was founded in February of 2020. Within these 3 years we have expanded to 10 new offices across Illinois, Wisconsin, and New Jersey. We aim to create a new standard for mental health care, offering a continuum of innovative therapeutic interventions and responding to evolving patient needs.

*PLEASE NOTE THIS IS NOT A REMOTE ROLE. REMOTE APPLICANTS WILL NOT BE CONSIDERED*

Responsibilities:

Reviews superbills for accuracy of CPT coding, modifiers, and claim submission guidelines.

Responsible for billing out charges to primary/secondary insurance carriers within timely filing limits.

Ensures clinical efficiency and operational flow by actively ensuring all EMR "to do's" are expedited in a timely manner.

Resolving claim rejections within the EMR for resubmission.

Perform appropriate follow up actions for daily claim denials, including submitting corrected claims, calling the insurance payer to investigate and resolve claim denials, and submitting appeals with appropriate medical documentation.

Maintain workflow to keep aging accounts at a minimum by timely follow up on unpaid/underpaid/denied claims.

Review and work incoming insurance correspondence, including refund requests.

Identify and report denial trends from payers that affect timely reimbursement.

Research and resolve customer inquiries/issues.

Assist with meeting monthly close deadlines with billing and accounts payable.

Perform regular audits on patient accounts to ensure accurate insurance and patient balances.

Qualifications:

Strong medical billing knowledge with a minimum two years' experience in medical billing and AR follow up.

Ability to read and interpret insurance explanation of benefits and cash application methods.

Ability to edit and resubmit claims for payment.

Proficient in use of payer websites/portals

Highly organized and detail oriented

Understanding of medical terminology, insurances payers and lines of business

HCPC/ICD-10 codes, medical billing practices, and billing reimbursement.

Behavioral Health experience is a plus

Experience with Kareo is highly preferred

What we Offer:

Competitive Wage

PTO

Health Insurance (Medical, Dental and Vision)

401K with Employer Match

Partnership with Lifetime Fitness

FSA and Dependent Care FSA

Short Term disability

Life Insurance

Tuition Reimbursement

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