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Billing / Collections Specialist

Billing / Collections Specialist

Acadia HealthcarePhiladelphia, PA, US
30+ days ago
Job type
  • Full-time
Job description

Insurance Verification And Billing Specialist

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.

Essential Functions :

  • Position is eligible for Hybrid / Remote model after 90 days. 3 days remote / 2 days in office
  • Prepares and monitors monthly billing and collection processes utilizing established policies, procedures, and tracking systems
  • Verifies Medicare, Medicaid and Commercial benefits and prior authorizations
  • Identifies deductible, co-insurance and co-pay due per EOBs received
  • Compiles appropriate information for refunds, bad debt write-offs, and adjustments
  • Types, assembles, copies, files and processes data required in an accurate and timely manner.
  • Making telephone calls, writing letters, and / or sending faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved.
  • Handling and interpreting medical documentation such as UB04 claim form, 1500 claim forms and EOB's.
  • Analyzing and interpreting documents, contracts, notes, and other correspondence
  • Writing appeals to insurance carriers to overcome denials.
  • Manage an extensive portfolio of claims by prioritizing and organizing time effectively
  • Comply with privacy laws and patient's needs.
  • Overcome obstacles by using effective information gathering and problem solving methods.
  • Participates in monthly AR reviews with Management Team.

Education / Experience / Skill Requirements :

  • High school diploma or equivalent required.
  • Three or more years' experience in related field required.
  • Extensive knowledge and understanding of Commercial Insurance and Medicare / Medicaid required.
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    Specialist • Philadelphia, PA, US

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