Billing Specialist FT (On-Site)

SBH-Green Bay; United States; On-site; USD 37,000 - 39,000; Full time

Job summary

Peak View Behavioral Health in Colorado Springs, CO, is seeking a Billing Specialist to be on-site. You will manage insurance and self-pay reimbursements, billing, collections, and reporting to maximize hospital cash flow.

The role requires a high school diploma and 2+ years in a business office with Accounts Receivable experience. Knowledge of general office procedures and electronic billing is required; an Associate's degree in accounting/finance is preferred.

Qualifications

• Two or more years of business office experience and Accounts Receivable required, preferably in medical/psychiatric setting.
• Knowledge of general office procedures and electronic billing required.

Responsibilities

• Ensures audited billing records align with clinical records before billing.
• Manages accounts receivable balances to ensure timely and accurate billing and payments.
• Documents and communicates billing released to third party payers.
• Follows up on outstanding balances to ensure prompt payment within terms.
• Conducts account audits using AR, Billed Open, and Unbilled Reports to ensure billing efficiency.
• Generates secondary claims and rebills; verifies accuracy of claims and transfers to payers.
• Reviews Rebill/Denial Log daily and processes EOB/ERA rejections.
• Performs timely processing of refund requests.
• Data entry of charges, payments, adjustments, and other transactions for charges incurred.
• Records and balances AR and miscellaneous cash; prepares bank deposits and posts to patient records.
• Retrieves and performs electronic billing to insurance companies timely.
• Makes follow-up calls to insurance companies and guarantors.

Skills

Accounts Receivable

Billing

Education

High school diploma or equivalent

Associates' degree in accounting/finance preferred

Job description

Billing Specialist FT (On‑Site) | Peak View Behavioral Health | Colorado Springs, Colorado

PURPOSE STATEMENT:

The Billing Specialist is responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts which include billing, collections, follow up, reporting, and other duties as assigned to maximize re-imbursement of services provided to achieve established hospital goals.

Pay Range: $27.00 - 28.50 hourly

Roles and Responsibilities

ESSENTIAL FUNCTIONS:

• Ensures that certified coding specialists have audited patients' billing records against clinical records before billing and maintains supporting documentation of audit in the patients' billing files.
• Manages assigned accounts receivable balances to ensure that appropriate payer sources are billed timely and accurately, and payments are made within payment terms.
• Documents/communicates billing released to third party payers.
• Follows up on any outstanding account balances in a timely manner and resolves any issues immediately to ensure prompt payment within payer payment terms to allow for an effective and efficient cash flow of hospital receivables.
• Conducts on-going account audits utilizing AR, Billed Open, and Unbilled Reports for determining the efficiency and accuracy of billing and collections operations.
• Generates secondary claims and rebills, verifies claim form is accurate and transfers/releases to third party payer.
• Reviews Rebill/Denial Log daily and processes rejections from EOB/ERA.
• Performs timely processing of refund requests.
• Accurately and timely performs data entry of charges, payments, adjustments, and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred.
• Records and balances both A/R and miscellaneous cash.
• Prepares bank deposits and post cash and adjustments to patient records as required.
• Retrieves and performs electronic billing to insurance companies in a timely manner.
• Makes follow up calls to insurance companies and guarantors as required.
• Checks the accuracy of figures, calculations and postings pertaining to business transactions recorded by others.

Education / Experience / Skill Requirements

• High school diploma or equivalent required. Associates' degree in accounting/finance preferred.
• Two or more years' of business office experience and Accounts Receivable required, preferably in medical/psychiatric setting.
• Knowledge of general office procedures and electronic billing required.

Licenses / Designations / Certifications

Not applicable.

Work Location

This position is onsite and is not a remote position.

Supervisory Requirements

This position is an Individual Contributor.

Why Peak View Behavioral Health

Peak View Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

Peak View Behavioral Health is an EOE.

Veterans and military spouses are highly encouraged to apply. Peak View Behavioral Health is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.