What are the responsibilities and job description for the Medical Billing Specialist (Collector) position at Belmont Behavioral Health System?
Overview
Belmont Behavioral Hospital is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the most prominent providers of behavioral healthcare treatment services, Belmont is proud to offer high quality and specialized programming options for children, adolescents, adults, and older adults who are suffering from psychiatric concerns and chemical dependency.
Belmont currently has an opening for a full-time Medical Billing and Collections Specialist. The Medical Billing and Collections Specialist will be responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts.
Qualified candidates will be eligible for Hybrid / Remote model after 90 days of employment which consist of 3 days remote / 2 days in office
Responsibilities
ESSENTIAL FUNCTIONS:
- Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems
- Verifies Medicare, Medicaid and Commercial benefits and prior authorizations
- Identifies deductible, co-insurance and co-pay due per EOBs received
- Compiles appropriate information for refunds, bad debt write-offs, and adjustments
- Types, assembles, copies, files and processes data required in an accurate and timely manner.
- Making telephone calls, writing letters, and/or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
- Handling and interpreting medical documentation such as UB04 claim form, 1500 claim forms and EOB’s.
- Analyzing and interpreting documents, contracts, notes, and other correspondence
- Writing appeals to insurance carriers to overcome denials.
- Manage an extensive portfolio of claims by prioritizing and organizing time effectively
- Comply with privacy laws and patient’s needs.
- Overcome obstacles by using effective information gathering and problem solving methods.
- Participates in monthly AR reviews with Management Team.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required.
- Additional college course work preferred.
- Three years of business office experience, preferably in a hospital or medical office.
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