Overview
About Us:
CHE is a premier provider of behavioral health services and is the partner of choice for skilled nursing facilities, community-based adult homes, assisted-living settings, adult day care, and rehabilitation centers. CHE has been operating for over 20 years and employs over 700 clinicians in numerous states of operations. We deliver a unique programmatic approach to behavioral health services and are focused on quality and compliance for facilities. Backed by a leading private equity investment firm, we are looking for a hungry, talented, ambitious, engaging, innovative, and all-around awesome individual to join our team.
Job Summary:
The purpose of the Medical Collections Specialist is to collect payments for outstanding accounts. He/She will also be responsible for researching denials, partial payments and overpayments to reconcile patient accounts
Responsibilities
- Collect outstanding balances as quickly as possible by applying collection best practices as defined by AR Management
- Utilize various AR reports to target aged balances for collection in order to meet and maintain performance goals as set by AR Management
- Evaluate denials and partial payments to determine if further reimbursement is valid
- Effectively participate during team meeting, payer discussions/meetings and conference calls/meetings as needed
- Research and correct cash application of misapplied funds and payments on account for patient accounts as necessary
- Identify and request adjustments to patient accounts as necessary, while following departmental procedure
- Alert management to irregularities, patient trends and areas of concern
- Maintain communication with direct manager and promptly follow-up with other departments as needed especially when seeking further information on denied claims.
Qualifications
Education
- High School Diploma or equivalent
- Some college preferred
Experience
- Minimum of two successful years in a business collection environment preferred
- Prior medical billing and healthcare insurance knowledge preferred
- Intermediate MS Word, Excel, Google (GMAIL) necessary
- Solid understanding of state laws and fee schedules and their impacts on billing and collection
- Excellent oral and written communication skills
- Excellent organizational and multitasking skills
Knowledge
- Medicare and Medicaid experience preferred
- Prior experience with behavioral health services preferred
- ADS Practice Management System referred but not required
- Thorough understanding of medical billing, third party payers, Medicare, Medicaid
- Working knowledge of CPT and ICD10 codes, HCFA 1500, HIPAA, billing and insurance regulations
Skills
- Detail oriented
- Highly organized
- Quick and accurate alpha/numeric data entry skills
- Excellent written and verbal communication
- Proficient in Microsoft Office, including Outlook, Word, and Excel
- Ability to work in high volume, fast paced environment
- Customer service oriented
- Excellent work ethic and commitment to job responsibilities
