Demo

Billing Specialist

Harbor
Toledo, OH Full Time
POSTED ON 2/1/2025
AVAILABLE BEFORE 3/1/2025
Job Details

Description

Harbor is seeking a Billing Specialist with previous experience in denials management. The ideal candidate will possess strong communication and problem-solving skills. Works collaboratively with internal and external customers to obtain, update, submit, and interpret client account information.

Position is full time

Education/Experience/Other Requirements

  • Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
  • Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
  • Previous coding experience in a behavioral healthcare setting preferred.
  • Strongly prefer prior experience in customer service and behavioral health setting.
  • Must have strong attention to detail and be able to communicate effectively with various individuals.
  • Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
  • Must be able to establish daily work priorities and work independently and efficiently to meet deadlines
  • Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.

Essential Job Competencies/Primary Duties

Customer Accounts Specialists may be assigned specific primary tasks and/or distinct client or payer populations for primary accountability and oversight

  • Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
  • Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
  • Reviews, monitors, updates and ensures timely submission and follow up for payer authorizations
  • Prepares paperwork for self-pay accounts to be sent to collections and adjusts self-pay balances when accounts are sent to collections.
  • Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
  • Monitors dashboard and runs reports daily to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
  • Processes daily mail payments and Explanation of Benefits that accompany payments.
  • Reviews charges for accuracy and generates claims for billing to payers and/or clients and follows up timely on claim generation errors.
  • Enters payments received and balances input to deposit.
  • Investigates denials from payers and initiates timely follow up.

About Harbor

  • A leading provider of mental health and substance use treatment for over 100 years
  • 350 clinical staff serve over 24,000 clients across multiple locations and in the community each year
  • Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!

Why Work for Harbor?

Benefits

It is fast-paced and challenging, but you will have a lot of fun in the process. You will have the opportunity to meet other motivated individuals who are also making a positive impact at our company. Harbor is committed to investing our resources in you! Some benefits of working with Harbor include:

  • Medical, dental, and vision coverage
  • Retirement plan with company match
  • Generous paid time off, sick time, and paid holidays
  • Tuition and professional license reimbursement programs
  • Clinical supervision hours offered
  • Employee referral bonuses
  • Ability to make a difference in your community!

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