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Form of workPayment Posting – Reconciliation Specialist - Team Lead
Join our dynamic team and contribute to our success by being a key member in our journey. We are currently seeking additional team members to meet demands of our growing company!
Who We Are
We are a team that is focused on patient care and quality. Behavioral Health Group (BHG), is a leading provider of opioid addiction treatment services. BHG provides medication assisted treatment and counseling services in a conventional outpatient setting. At BHG, we are committed to the belief that addiction is a brain disease, not a moral failing. We believe that with hope, respect, and caring, real recovery is possible.
Why work at BHG?
We grow better together! At BHG we believe in investing in our team members and growing careers through role-based training and promotional opportunities. Join our team members and thrive in our people first culture that is rooted in diversity and inclusion and offers many other tangible opportunities such as:
- Benefits: Your choice of three different benefits programs including health, life, vision, and dental insurance, a tuition reimbursement program, and 401K discretionary match
- Bonuses: We offer competitive pay, annual increases, bonuses, certification/license completion
- Paid Time Off: In addition to paid vacation and company holidays, BHG also provides paid time for training, voting, sick or personal time off
- Work/life Balance: Many of our locations offer flexible work schedules
- Additional Benefits: Employee Discount Programs to applicable cell phone services, restaurants, amusement parks, movie theaters and more
- Career Pathing: We are growing and promote from within
- Self-Care: We offer a self-care series as well as an Employee Assistance Program
BHG is the largest network of Joint Commission accredited outpatient opioid treatment and recovery centers operating almost 120 locations in 24 states, and counting. Please ensure you check out our open opportunities in other locations/states as we offer relocation assistance to help support your career.
Responsibilities
- In-Depth processing of manual and ERA payments and adjustments received while ensuring all deposits are balanced daily for all centers.
- Performs bank reconciliations with assistance of the accounting department, tracking of cash by center and maintenance of cash reports.
- Interpret, evaluate, and clarify research requests to determine potential payment issues.
- Perform extensive primary and secondary research to locate missing EOB's and insurance payments for posting to accounts.
- Works in multiple systems ensuring all insurance payments are accurately posted and reconciled.
- Research and resolve deposit and/or posting discrepancies.
- Assists management to communicate pertinent information to another team members.
- Performs cash management operations involving payment receipt, processing, deposits and other duties with accuracy and timeliness.
- Assist in the controls, balances, and deposits of daily cash receipts to maximize return.
- Responsible for compliance with applicable laws, rules and regulations impacting cash management services.
- Prepare daily and monthly cash reports.
- Identify underpayments and overpayments/credits to determine steps for resolution.
- Retrieve missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.)
- Must be able to read debits and credits on accounts and take necessary action to resolve.
- Perform other duties assigned by the supervisor
Qualifications
- 5+ years of medical billing (coding), collections, Payment Posting and reconciliation experience.
- Strong knowledge of Medicare, Medicaid, Managed Care and Commercial Plans
- Strong reconciliation and analytical abilities as it relates to medical billing, collections and Payment Posting
- Intermediate Excel experience
- Basic knowledge of clinical terminology, ICD-10, and CPT codes
- Ability to read and understand different Explanation of Benefits.
- Ability to read and understand HCFA regulations, HIPPA compliance and updates with each state.
- Ability to work independently and under pressure while handling multiple tasks simultaneously.
- Ability to communicate clearly and effectively verbally and in writing.
- Ability to efficiently manage multiple tasks as assigned.
- Ability to adhere to policy and procedures set company wide and inter-departmentally.
- Ability to meet production and quality standards set forth by department.
- Willing to learn and take on new tasks.
- Flexible with assigned tasks
- Be a productive member of the staff.
- Demonstrate cooperation.
GREAT Opportunities -- Our Team Members are motivated self-starter’s who excel in a fast-paced environment and become a valued member of our team.
GREAT People -- Our staff has a passion to be the best, sharing a strong work ethic and dedication to providing the gold standard of patient care.
GREAT Support -- We are committed to providing the training, information, and corporate support necessary to facilitate your success.
BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.
