Accounts Receivable Specialist

Overview

An Accounts Receivable Specialist is needed to help us in our endeavor to build the healthiest community in the nation … one person at a time.

The Mission:
At SummitStone Health Partners, we strive to foster trust, empower recovery, and inspire hope to strengthen and enrich our Northern Colorado community.

We need your help to make this vision a reality.

We are building a team who believes in providing crucial services at crucial times, helping the people in our community at their most vulnerable — particularly those who are often overlooked and underserved.

We Embrace Our Diversity

Come As You Are:

A core value here at SummitStone.

We want you to be your authentic self while at work, so we welcome and actively seek team members of different backgrounds, identities and experiences. SummitStone is committed to fostering a diverse and inclusive environment, honoring each individual's whole-self by embracing differences in race, ethnicity, ability, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, language and the inherent intersections of many different identities. We invite everyone to share our journey and are proudly an equal opportunity employer.

Experiences and Backgrounds We Look For

If this sounds like your calling, then we want to help you succeed, grow, and thrive at SummitStone.

• Location: Larimer County, CO - Hybrid
• Status: Full-time, 40/hrs. week

What You’ll Do:

The Accounts Receivable Billing Specialist is responsible for timely billing and follow-up of insurance claims for behavioral health, substance abuse, and medical services across several service lines offered at SummitStone Health Partners. This includes management of denials, appeals and refunds all the while maintaining accuracy, compliance, and productivity standards.

Essential duties:

• Timely billing submission of electronic and paper claims to payers.
• Resolves billing edits related to coding, charging, and other billing issues.
• Creates monthly client billing invoices to payers who do not accept UB-04 or 1500 billing.
• Timely follow-up on claims and payment status.
• Follow-up on denials for outstanding accounts and submitting appeals when necessary to maximize collections where possible.
• Ensure that all past-due client accounts are researched and resolved, utilizing payer portals for benefit verification, claims, and payment status.
• Ensure the proper order of filing claims to primary, secondary, and tertiary payers, moving balances to client responsibility after other payer sources are exhausted.
• Receive and respond to phone calls and correspondence with questions and requests for information from customers (internal and external) and work collaboratively with other staff, clients and/or external third-party payors in a courteous, timely, and accurate manner.
• Fully learn, understand, and maintain knowledge of the Revenue Cycle Management department functions.
• Serve as direct back-up support to peers.
• Maintains regular and consistent attendance.
• Meet defined department goals for productivity, AR days and other Key Performance Indicators
• Promotes, supports, and demonstrates SHP’s mission, vision, and values through both behavior and job performance and adheres to policies, procedures, Compliance Plan and Standards of Conduct on a day-to-day basis.
• Effectively interacts and communicates with other SHP staff/clients/customers/partners/etc.
• Perform other duties as assigned.

Job Requirements:

• Detail oriented, with high-level problem solving, analytical, and investigational skills
• Ability to work well independently, as well as in a team setting.
• Excellent written and verbal communication skills
• Problem-solving and organizational skills
• Proficient in Microsoft Office (Outlook, Word, Excel, and Power Point)
• Knowledge of CPT and ICD-10 codes, medical terminologies, billing software, and electronic medical records
• Understanding of industry-specific policies, such as HIPAA regulations for health care

Required:

• Two years of experience in healthcare billing or similar billing of third-party payor claims.
• Knowledge of Medicaid regulations and CMS documentation standards.
• Excellent interpersonal and communication skills.
• Attention to detail.

Preferred:

• Experience in Pharmacy and Laboratory billing is preferred.
• Experience working with Colorado Medicaid will be an advantage.
• EPIC experience a plus.
• Preferred associate degree in business, medical billing or related field, or equivalent experience in healthcare/medical insurance environment.
• Previous mental health experience preferred, but not required.
• Bilingual/bi-cultural preferred.

Some positions include driving a company vehicle and require a valid Colorado driver’s license.

Start With Yes

At SummitStone, we show up not only for our clients, but for our staff as well. You will be joining a team of committed professionals who believe in the power of starting with “yes” — where an unparalleled level of teamwork and support can solve any challenge.

We believe that people can and do recover, but we also know that they can’t always do it on their own. That’s where you come in. If you have any or all of these qualities, we want you to consider us for your next career move:

• You believe in being a voice for behavioral health in Northern Colorado
• You embrace equity for your clients, teammates, and partners
• Collaboration and creativity are crucial to helping you solve problems
• You show up as your genuine self to help guide others through their toughest times
• Through continuous curiosity, exploration, and reflection, you’re eager to adapt and learn

Total Rewards

The typical hiring range for this position is $24.00 - $28.80 per hour, based on relevant years of experience.

Benefits

We know that most people aren’t just searching for a job, they’re searching for a career.

But more than that, they’re searching for a sense of belonging and purpose. Whether you’re at the start of your journey or you already know where you want to be, you will have access to a level of support and teamwork that is uncommon in the field of behavioral health today.

Along with that, positions are eligible* for range of benefits including:

Time that you deserve for a balanced life

• Flextime Scheduling
• Paid Time Off (PTO)
• Ten paid holidays, including one floating holiday
• Extended Leave Bank (ELB)

Financial benefits

• 403(b) Retirement Plan with an employer match
• Referral Bonus available for employee who refer new hires
• Ongoing support for learning and development, including reimbursement and supervision for license and certification

Health, Medical, and Wellness

• Medical Insurance
• Dental & Vision Insurance
• Life Insurance and Long-Term Disability (LTD)
• Malpractice Insurance
• Option to participate in Employee Resource Groups

*Based on working 20 hours per week

Reach Out

SummitStone will provide persons with disabilities reasonable accommodations. If reasonable accommodation is needed to participate in the job application or selection process, please let your recruiter know.

Questions? Please email us at hiring@summitstonehealth.org.