Medical Billing and Collections Specialist

Description

LearnWell Behavioral Health is seeking a Billing Specialist to join an energetic team dedicated to expanding access to affordable, behavioral healthcare. Our medical billing team plays a crucial role in ensuring the financial health of our organization by managing and optimizing the accounts receivable process. You will work closely with clinicians, insurance companies, patients, and internal departments to maximize revenue and minimize outstanding balances. This position requires attention to detail, strong analytical skills, and a deep understanding of medical billing and reimbursement processes.

The ideal candidate for the position will have extensive experience in various aspects of medical billing, including but not limited to claim submissions, prior authorizations, insurance appeals, and reprocessing efforts. This detail-oriented individual will thrive in a fast-paced environment and contribute to streamlined revenue cycle management.

What you’ll do:

• Ensure daily billing batches are cleared of all errors and ready for transmission
• Investigate and resolve claim denials by appealing, resubmitting, and/or working with Network Management.
• Conduct regular follow-ups with payers and patients to ensure timely payment of outstanding balances.
• Verify insurance benefits and eligibility utilizing online insurance portals.
• Read and interpret EOBs/ERAs.
• Identify, research, and escalate denial trends to executive management.
• Collect patient cost shares, update payment methods, and setup payment plans.
• Return patient and clinician emails/voicemails within 48 hours of receipt.
• Demonstrate strong understanding of EMR and RCM platforms.
• Utilizes Microsoft Office (Excel) to analyze report data.

Compensation & Benefits:

This position entails a 40 hour a week commitment, Monday through Friday (remote).

• Starting annual salary is $50,000/year
• We offer a generous package of paid time off including vacation time, sick time, and holidays. We also offer healthcare benefits that include medical, dental, and vision. Additional benefits include paid family leave options, 401K, employer sponsored life insurance policies, and annual grants for tuition reimbursement.

Qualifications

•           Bachelors Degree Preferred

•           2 years of experience in behavioral health medical billing

•           Experience with high volume medical collections

•           Bilingual (Spanish/English) is a plus

At LearnWell we are proud to be an equal opportunity employer!

Salary : $48,000 - $50,000