Medical Billing - AR Specialist (Remote)

About Us:

At Brave Health, we are on a mission to expand access to high-quality, affordable care for behavioral health conditions. Utilizing the power of technology, we eliminate barriers to treatment and provide accessible mental health and substance use disorder care through telehealth services. As a community-based start-up, our goal is to ensure that everyone has access to the mental health services they need, when and where they need them. In particular we aim to bring access to care to underserved populations e.g. Medicaid.

Job Summary

Under general supervision of the Accounts Receivable Supervisor, the Medical Accounts Receivable Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections. The Medical Accounts Receivable Specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as Managed Care & Commercial insurance payer payment methods to understand contractual adjustments on payer contracts or government regulations.

We are seeking a AR Specialist to:

• Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Accounts Receivable Supervisor
• Research and resolution of assigned unpaid claims/denials
• Generate and resubmit claims as needed
• Carry out all collection activities according to specific deadlines and filing limits
• Monitor customer account details for non-payments, delayed payments and other irregularities
• Maintain accounts receivable customer files and records
• Investigate and resolve customer queries
• Process adjustments
• Gather accurate reimbursement on client accounts and identify denial trends to improve client performance.
• Update client accounts in the system with any action taken or additional information attained when verifying benefits.
• Contact insurance companies by phone, email, fax, and written correspondence to resolve issues that prevent claims from being processed correctly.
• Handle EDI (Electronic Data Interchange) transactions, including reconciling carrier submissions, edits and rejection reports.
• Promote effective working relations and works effectively as part of a team to facilitate the department's ability to meet its goals and objectives
• Perform other duties as assigned

Knowledge, Skills & Abilities

• Attention to detail and accuracy
• Possess good oral and written communication skills.
• Plan, prioritize, and complete multiple tasks as delegated by the Revenue Cycle Manager
• Excellent Customer Service Skills
• Must have experience using Excel and Word; familiarity with Google Drive preferred.
• Knowledgeable in researching coding related topics and issues.
• Ability to handle a fast-paced environment
• Flexibility and ability to adapt to new systems as needed
• High school diploma or GED; Medical Billing Certificate/Diploma a plus!
• At least 1 year of Microsoft Excel work experience including creating spreadsheets, editing and formatting, and using pivot tables
• Bilingual Spanish Speaking a plus
• Strong Knowledge of Medicaid, Medicare and commercial insurance
• 2 years accounts receivable experience
• 3 year medical billing experience
• Knowledge of medical billing and collections specifically in behavioral health preferred
• Working knowledge of medical billing systems (i.e. Athena, AdvancedMD)

Work Schedule & Location: This is a full-time, remote position. Hours 8:00am-5:00pm ET; 1 hour unpaid break; or 8:30am-5:00pm with a half hour unpaid break. Team members may work from any state within the U.S. that Brave is set up to conduct business in.

Benefits:

• Salary ranges between $17-$19 per hour depending on level of experience
• Comprehensive health, dental, and vision coverage.
• Generous paid time off, including parental leave.
• Fully remote, work from home position; all equipment provided!

Brave Health is very proud of the diverse team we have that cares for our diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.