ROWI Teen & Parent Wellness Centers · 2 months ago
Senior Billing and Collections Specialist
Newbury Park, CA
Full-time
Onsite
Mid, Senior Level
$30/hr - $32/hr
3+ years expROWI Teen & Parent Wellness Centers is dedicated to transforming the lives of adolescents struggling with mental health issues. The Senior Billing and Collections Specialist will be responsible for monitoring claim status, researching rejections and denials, and assisting with collections from commercial insurance payers.
Mental Health Care
Responsibilities
Perform follow up with Commercial insurance companies on unpaid insurance accounts identified through claims report in CollaborateMD
Utilize CollaborateMD and KIPU to research, investigate and record findings to get claims processed and paid properly
Assist with submitting claims, follow-up of claims, and initial billing setup of clients
Must have written appeals process experience
Responsible for applying Single Case Agreements to an account during the collections process. Must be able to identify the difference between electronic and paper submissions in CollaborateMD
Responsible for applying benefit verification information to the collections process
Ability to handle a large volume of outbound insurance calls for the purpose of claims follow up
Responsible for entering detailed notes that clearly follow the claims process from submission to final posting, including Explanation of Benefits (EOB) Page 1 reconciliation, processing denial of claims and providing required documentation
Responsible for collection and/or re-submission of claims by communicating information to supervisor and biller in a timely manner
Prepare appeal letters on company letterhead
Communicate with the Strategic Revenue Cycle Manager to identify and resolve audit review issues
Communicate daily with insurance companies via phone and written communication to answer/respond to correspondence related to patient accounts and answer billing and change related inquiries
Maintain patient information confidentiality pursuant to HIPAA compliance
Attend designated staff and in-service meetings
Any additional duties as assigned by the management team
Qualification
Required
Minimum of a high school diploma required
Knowledge of business and accounting processes within mental health billing capacity
3-5 years of mental health billing experience required
Working knowledge of CollaborateMD and KIPU required
Private insurance experience required (Behavioral Health preferred)
Must have critical thinking skills
Proficient in Excel
Ability to read and understand EOB's
Ability to work with In-Network and Out-of-Network carriers
Ability to manage time effectively
Ability to work with minimal supervision
Proficient in basic computer skills
Able to maintain clear boundaries with clients and staff
Work effectively within an interdisciplinary team environment
Strong interpersonal and organizational skills
Excellent written and verbal communication skills
Ability to set priorities and handle multiple assignments
Must exercise discretion with billing information
Able to present and manage cases in a knowledgeable and professional manner
Must be able to communicate with people from all educational and cultural backgrounds
Must cope constructively with stressful situations
Must demonstrate tact, initiative, resourcefulness, professional manner, enthusiasm, and non-judgemental attitude
Documents clearly and efficiently
KIPU: 1 year (Required)
CollaborateMD: 1 year (Required)
mental health billing: 3 years (Required)
Preferred
Working knowledge of CPT/revenue codes preferred
Behavioral Health preferred
Benefits
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Company
ROWI Teen & Parent Wellness Centers
ROWI Teen & Parent Wellness Centers is an Official Mental Health Partner of the Los Angeles Rams, and we’re leading the charge to see mental health as a strength, while prioritizing short-term care as a foundation for long-term body-and-mind wellness.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Candice Feinberg , Psy.D.
CEO
Alissa Whiteley
Director of Partnerships
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