Accounts Receivable Specialist - Behavioral Health

Woods Services; Pennsylvania; On-site; USD 21,593 - 30,754; Full time

Benefits offered by this job

Medical Insurance (Health) and Dental

Vision Insurance

Life and Disability Insurance

PTO

On-site medical center

403b retirement plan

Continuing education programs

Tuition-assisted program

Career growth opportunities

Job summary

Woods Services in Pennsylvania is seeking an Accounts Receivable Specialist responsible for daily billing operations for Centers for Behavioral Health and RL Health, ensuring timely processing of claims and timely appeals when needed. You will analyze denials, monitor payer performance, and maintain spreadsheets for trend reporting.

Qualifications include a High School Diploma or GED, experience with Medicaid/Medicare and billing systems, plus proficiency in Excel and Word.

Qualifications

• High School Diploma or GED required.
• Experience with Managed Medicaid, Medicaid, Medicare, 3rd Party and Self Pay accounts.
• Experience with billing and collections systems.
• Proficient in Excel and Word.
• Strong analytical skills, attention to detail, and the ability to communicate effectively with both internal team and external customers.

Responsibilities

• Process Daily billing for Centers for Behavioral Health and RL Health claims.
• Monitors submitted claims to ensure processing.
• Reviews and resolves issues related to claim generation and rejection, errors and denials.
• Submit proper appeals to the payer per the payer specific guidelines.
• Communicates professionally with various payers, communicates all billing issues regarding contract short-payment overpayment trends to direct Supervisor or Upper Management.
• Works all assigned spreadsheets. Provides trending and claim denial information on the spreadsheet.
• Stays educated on industry changes and updated.
• Other duties as assigned.

Skills

Analytical skills

Attention to detail

Communication

Education

High School Diploma or GED

Tools

Excel

Word

Job description

Woods Services in Pennsylvania is seeking an Accounts Receivable Specialist responsible for daily billing operations for Centers for Behavioral Health and RL Health, ensuring timely processing of claims and timely appeals when needed. You will analyze denials, monitor payer performance, and maintain spreadsheets for trend reporting.

Qualifications include a High School Diploma or GED, experience with Medicaid/Medicare and billing systems, plus proficiency in Excel and Word.