Outpatient Billing Specialist

Apalachee Center; Tallahassee (FL); On-site; USD 21,000 - 25,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Long-term disability

Job summary

Apalachee Center, Inc. in Tallahassee is seeking a full-time Billing Clerk to manage outpatient claims, coding coordination, and payer communications.

You will complete pre-billing, process billings, review EOBs, handle denials with Utilization Review, and monitor aged receivables to maintain clean receivables.

Qualifications

• High school diploma or equivalent.
• Two years medical clerical/insurance experience.
• Excellent telephone/customer relations; experience with a 10-key calculator.

Responsibilities

• Coordinate with outpatient staff on patient information, coding, policy-holder info, and benefits.
• Complete pre-billing processes and edits for assigned payer sources.
• Process outpatient billings to assigned payer sources.
• Process EOBs, posting payments, rebilling co-pays/deductibles, and adjusting receivables.
• Process denials by coordinating with Utilization Review and insurers, providing docs and corrected billings as needed.
• Review aged receivables reports monthly for assigned payer sources and follow up.
• Review AR over 90 days with DP/Billings Supervisor.

Skills

Medical billing

Customer service

10-key calculator

Education

High school diploma or equivalent

Job description

Job Location: Tallahassee, FL 32308 • Position Type: Full Time • Salary Range: $15.00 • Job Category: Other

Apalachee Center, Inc. is best known for helping individuals and families of North Florida succeed in recovering from emotional, psychiatric, and substance abuse crises. Apalachee Center, Inc. provides comprehensive behavioral health services across 8 counties: Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, and Wakulla.

Apalachee Center, Inc. offers competitive benefits for our full‑time positions, including health, dental, vision, basic life insurance, long‑term disability, paid time off, and more.

Overview

Billing and collection of behavioral health outpatient services via a complex, service‑specific accounting/insurance system.

ESSENTIAL/CORE JOB-SPECIFIC DUTIES AND RESPONSIBILITIES

1. Coordinate and communicate with various outpatient staff regarding patient information, including diagnostic coding, policy‑holder information, and patient benefits.
2. Complete all pre‑billing processes and edits for assigned payer sources.
3. Process outpatient billings to assigned payer sources.
4. Process explanation of benefits (EOBs) from assigned payer sources, including posting of payments, rebilling co‑pays and/or deductibles, and adjusting receivables accordingly.
5. Process denials by coordinating with the Utilization Review department when necessary, communicating with insurers, providing additional documentation, submitting corrected billings, or taking any other required step based on the denial code.
6. Review aged receivables reports for assigned payer sources on a monthly basis for outstanding balances, and perform necessary follow‑up.
7. Review accounts receivable greater than ninety days with DP/Billings Supervisor.

Qualifications

• High school diploma or its equivalent.
• Two years of medical clerical/insurance experience.
• Excellent telephone/customer relations skills and experience with a 10‑key calculator.