Accounts Receivable Specialist

  • Location: Altamonte Springs, Florida
  • Type: Full-time

Founded in 2005, our doctors and clinicians have been serving their communities for many years. Georgia Behavioral Health Professionals (GBHP) believes in delivering comprehensive mental health care in a private practice setting. We provide integrated care with psychiatrists, addiction medicine doctors, psychologists, interventional psychiatrists, nurse practitioners, physician assistants and masters level therapists to treat a wide range of behavioral health disorders. We currently have several offices serving patients in both Florida and Georgia.

The ideal candidate will have a strong background in medical billing, with the skills necessary to improve our current billing procedures and reduce A/R days. The successful applicant must be a self-starter, detailed oriented, able to perform multiple tasks and the ability to work well with a team.

Responsibilities may include:

  • Reading and interpreting insurance explanation of benefits
  • Check insurance payments for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information
  • Insure claim information is complete and accurate
  • Submit clean insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form
  • Follow up with insurance company on unpaid or rejected claims; resolve issue and re-submit claims
  • Prepare appeal letters to insurance carrier when not in agreement with claim denial; Collect necessary information to accompany appeal
  • Post insurance and patient payments using medical claim billing software
  • For patients with coverage by more than one insurer, prepare and submit secondary claims upon processing by primary insurer
  • Respond to inquiries from insurance companies, patients and providers
  • Follows HIPAA guidelines for handling patient information
  • Verify patient benefits eligibility and coverage
  • Ability to look up ICD diagnosis and CPT treatment codes from online service or using traditional coding references
  • Assist with patient questions and concerns

Required Experience

  • 2 years medical billing experience
  • Coding certification preferred or equivalent experience
  • Knowledge of insurance guidelines for different states including Medicare, state Medicaid and workers compensation
  • Knowledge of psychiatric billing and AdvancedMD is a plus
  • Excellent communication, time management, and organizational skills
  • Demonstrated ability to be flexible, work collaboratively among internal and external departments, as applicable to identify and help resolve enterprise-wide challenges
  • Demonstrated service and success in teamwork and consistent high productivity and quality
  • Experience in customer service will be a plus
  • Ease with clinical/medical office operations
  • Knowledge of basic bookkeeping principles and office management systems and procedures
  • Working knowledge of office equipment (e.g. optical scanner)
  • Excellent communication and interpersonal skills
  • Organized with the ability to prioritize and multi-task
  • Reliable with patience and professionalism
  • Must have ability to work independently and as a team member
  • Must process strong communication skills, both written and verbal
  • Must have strong attention to detail
  • Must be able to multi-task
  • Must have significant problem-solving capability
  • Must be able to prioritize tasks daily
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