Acadiana Treatment Center · 1 month ago
Billing/Collections Specialist
US-PA-Philadelphia
Full-time
Hybrid
Mid Level
3+ years expAcadiana Treatment Center is a leading provider of behavioral healthcare treatment services, specializing in mental health and substance abuse treatment. The Billing and Collection Specialist will be responsible for managing billing processes, verifying insurance benefits, and ensuring accurate documentation for claims and collections.
Health CareTherapeutics
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
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
Acadiana Treatment Center
Acadiana Treatment Center provides psychiatric treatment for adolescents.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase