Senior Accounts Receivable Specialist

SERV Behavioral Health System, Inc.; Hamilton (NJ); On-site; USD 60,000 - 80,000; Full time

Job summary

An established leader in behavioral healthcare is seeking a Senior Accounts Receivable Specialist to join their dedicated team. In this pivotal role, you will manage billing and claims submission processes, ensuring accuracy and compliance with payer requirements. Your expertise in behavioral health billing and revenue cycle management will contribute to improving cash flow and reducing denial rates. This position offers an opportunity to work in a supportive environment, where your attention to detail and strong communication skills will be valued. Join a forward-thinking organization committed to enhancing the lives of individuals with mental health challenges.

Qualifications

• Acute attention to detail with excellent communication skills.
• Experience in behavioral health billing and revenue cycle management.
• Strong understanding of medical coding and insurance processes.

Responsibilities

• Prepare and submit claims to insurance companies for behavioral health services.
• Review and resubmit denied claims to ensure timely reimbursement.
• Monitor aging accounts receivable to identify overdue accounts.

Skills

Attention to Detail

Verbal Communication

Written Communication

MS Office (Word & Excel)

Behavioral Health Billing

Revenue Cycle Management

Medical Coding (CPT, ICD-10)

Organizational Skills

Customer Service

Time Management

Education

High School Diploma

Associate's Degree

Tools

Medical Billing Software

Electronic Health Records (EHR)

Job description

SERV, a well-established leader in behavioral healthcare in New Jersey, supports people with mental illness and/or intellectual/developmental disabilities as they achieve greater independence and life satisfaction through a wide range of services.

JOB SUMMARY:

Reporting to the Billing Manager, the Senior Accounts Receivable Specialist will be responsible for billing and submitting claims, and handling escalated billing and collection issues. The Senior Accounts receivable specialist serves as a subject matter expert in complex accounts receivable processes including denied and aging claims and provides training and guidance to the Accounts Receivable staff and assists with onboarding new staff members.

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Prepares and submits claims to insurance companies for behavioral health services; Responsible for both Medicaid FFS (NJMAPPS) and claims submission through the current E.H.R system;
• Reviews and resubmits denied or rejected claims to ensure timely reimbursement;
• Ensures all claims are coded accurately and comply with the payer’s requirements;
• Monitors aging accounts receivable to identify overdue accounts;
• Follows up on unpaid claims and resolve any issues causing delay;.
• Implements strategies to reduce the aging of accounts receivable and improve cash flow;
• Runs weekly Accounts Receivable reports to identify claims requiring follow-up, including held and denied claims;
• Proactively researches unresolved claims and follow up with program staff and insurers within the standard billing cycle timeframe;
• Identifies corrected claims and process all claim appeals;
• Ensures secondary billing is accurate and timely, when applicable;
• Reviews processed claims for adjustments or write-offs;
• Reviews Explanation of Benefits to ensure payment accuracy based on active payer status;
• Assists with the payment posting process when needed;
• Ensures timely batch creation and processing;
• Sets up and manages automatic billing schedules;
• Recommends strategies to reduce denial rates and improve reimbursement processes;
• Proactively identifies issues that prevent denials for timely filing;
• Follows up and escalates claims as outlined in the claim’s procedures and processes;
• Assists with front end revenue team (outpatient front desk), including training, supervision, and in-office tasks in Clifton, NJ on an as-needed basis;
• Other duties as assigned or as necessary to meet organizational or departmental objectives.

EDUCATION, KNOWLEDGE, SKILL & ABILITY:

• Acute attention to detail with excellent verbal and written communication skills.
• Intermediate MS Office (Word & Excel) skills is highly preferred.
• Experience in behavioral health billing and revenue cycle management or similar field
• Proficiency in medical billing software and electronic health records (EHR) system
• Strong understanding of medical coding (e.g., CPT, ICD-10) and insurance processes
• Excellent organizational and time management skills.
• Strong communication and customer service skills.
• Attention to detail and accuracy in billing and record-keeping.
• Ability to work a flexible schedule including occasional evenings and weekends for unusual circumstantial coverage needs.
• High School diploma; Associate’s degree or higher preferred
• Two (1) years’ experience in revenue
• Two (2) years experience in accounts receivable
• Valid drivers’ license in the state of residence with a clean driving record and reliable transportation for in-state travel

SALARY:

• $28.84 per hour

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EEO STATEMENT

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, national origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability, veteran status, or any other characteristic protected by law.