Medical Accounts Receivable Specialist

About Us:

Relief Mental Health was founded in February of 2020. Within these 3 years we have expanded to 10 new offices across Illinois, Wisconsin, and New Jersey. We aim to create a new standard for mental health care, offering a continuum of innovative therapeutic interventions and responding to evolving patient needs. *PLEASE NOTE THIS IS NOT A REMOTE ROLE. REMOTE APPLICANTS WILL NOT BE CONSIDERED*

Responsibilities:

• Reviews superbills for accuracy of CPT coding, modifiers, and claim submission guidelines.
• Responsible for billing out charges to primary/secondary insurance carriers within timely filing limits.
• Ensures clinical efficiency and operational flow by actively ensuring all EMR “to do’s” are expedited in a timely manner.
• Resolving claim rejections within the EMR for resubmission.
• Perform appropriate follow up actions for daily claim denials, including submitting corrected claims, calling the insurance payer to investigate and resolve claim denials, and submitting appeals with appropriate medical documentation.
• Maintain workflow to keep aging accounts at a minimum by timely follow up on unpaid/underpaid/denied claims.
• Review and work incoming insurance correspondence, including refund requests.
• Identify and report denial trends from payers that affect timely reimbursement.
• Research and resolve customer inquiries/issues.
• Assist with meeting monthly close deadlines with billing and accounts payable.
• Perform regular audits on patient accounts to ensure accurate insurance and patient balances.

Qualifications:

• Strong medical billing knowledge with a minimum two years’ experience in medical billing and AR follow up.
• Ability to read and interpret insurance explanation of benefits and cash application methods.
• Ability to edit and resubmit claims for payment.
• Proficient in use of payer websites/portals
• Highly organized and detail oriented
• Understanding of medical terminology, insurances payers and lines of business
• HCPC/ICD-10 codes, medical billing practices, and billing reimbursement.
• Behavioral Health experience is a plus
• Experience with Kareo is highly preferred

What we Offer:

• Competitive Wage
• PTO
• Health Insurance (Medical, Dental and Vision)
• 401K with Employer Match
• Partnership with Lifetime Fitness
• FSA and Dependent Care FSA
• Short Term disability
• Life Insurance
• Tuition Reimbursement