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Acadia Healthcare · 7 hours ago

Billing/Collections Specialist

Philadelphia, PA

Full-time

Hybrid

Mid Level

3+ years exp

Acadia Healthcare is a leading provider of behavioral healthcare treatment services. The Billing and Collection Specialist is responsible for managing billing and collections processes, ensuring accurate documentation, and resolving claims with insurance carriers.

Mental Health Care

Responsibilities

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

Qualification

Commercial Insurance knowledgeMedicare/Medicaid knowledgeBillingCollectionsClaim resolutionProblem solving

Required

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

Company

Acadia Healthcare

Glassdoor3.1

Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country.

Founded in 2005

Franklin, Tennessee, US

10001+ employees