Patient Billing & Claims Specialist

Mental Health Resource Center, Inc.; Jacksonville (FL); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Dental Insurance

Health Insurance

Paid Time Off

Vision Insurance

Life Insurance

Disability Insurance

403b

PTO

Paid Holidays

Flexible Spending Account

Employee Assistance Program

Job summary

Mental Health Resource Center, Inc. is seeking a Patient Accounts Specialist in Florida to handle accurate and timely insurance claims, reimbursements, adjustments, and refunds for assigned payers.

The role requires a high school diploma and at least two years of medical billing experience, with proficiency in Microsoft Office and payer communications. The position is full-time days with equal opportunity employment.

Qualifications

• High school graduate or equivalent required.
• Two years of medical third-party billing and collection experience required.
• Two years’ experience with a desktop computer and related software (Microsoft Office).
• Experience with Medicare preferred.

Responsibilities

• Files claim with all appropriate payers.
• Generates daily billing reports that reflect payer summaries of claims filed and amounts to be collected for submission to the Business Office Manager.
• Transmits billing electronically and manually for all companies in accordance with departmental deadlines.
• Performs timely and accurate applications and insurance company payments/adjustments.
• Evaluates denials in a timely manner for appropriate reconciliation, rebilling, and other necessary follow-up.
• Receives phone calls and inquiries from both third-party payers and individuals served on claims and responds to same as appropriate.
• Maintains and updates financial files that contain current demographics, historical data, financial status, and payer source. Works cooperatively with other departments to obtain accurate clinical and demographic information to ensure timely billing and collection of fees owed for services rendered.
• Works with staff on third-party verification. Coordinates with utilization management, inpatient admitting clerk, and outpatient staff to assure proper pre-certifications are obtained from insurance companies. Performs insurance verifications when necessary.
• Reviews and utilizes Accounts Receivables aging and billing error reports for the purposes of correction, reconciliation, and problem resolution in regard to receivables, in an effort to prevent 90 and 120-day receivables.
• Processes financial evaluations for eligibility of sliding scale, as well as maintaining financial documents.

Skills

Third-party billing

Microsoft Office

Education

High School Diploma or equivalent

Job description

Mental Health Resource Center, Inc. is seeking a Patient Accounts Specialist in Florida to handle accurate and timely insurance claims, reimbursements, adjustments, and refunds for assigned payers.

The role requires a high school diploma and at least two years of medical billing experience, with proficiency in Microsoft Office and payer communications. The position is full-time days with equal opportunity employment.