SERV Behavioral Health System, Inc. · 3 months ago
Senior Accounts Receivable Specialist
Hamilton, NJ
Full-time
Onsite
Mid, Senior Level
$29.72/hr - $29.72/hr
2+ years expSERV Behavioral Health System, Inc. is a well-established leader in behavioral healthcare in New Jersey, supporting individuals with mental illness and intellectual/developmental disabilities. The Senior Accounts Receivable Specialist will handle billing and claims submissions, resolve escalated billing issues, and provide training to Accounts Receivable staff.
ChildrenHealth CareHospitalMedicalMental HealthNon ProfitService Industry
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
Qualification
Required
Acute attention to detail with excellent verbal and written communication skills
Experience in behavioral health billing and revenue cycle management or similar field
Proficiency in medical billing software and electronic health records (EHR) systems
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 degree or higher preferred
Two years' experience in revenue
Two 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
Preferred
Intermediate MS Office (Word & Excel) skills is highly preferred
Company
SERV Behavioral Health System, Inc.
SERV Behavioral Health System is an award-winning, not-for-profit behavioral healthcare organization.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Regina Widdows
President/CEO
Company data provided by crunchbase