Exact Billing Solutions ยท 9 hours ago
Billing Specialist
Lauderdale Lakes, FL
Full-time
Onsite
Mid Level
$58K/yr - $64K/yr
3+ years expExact Billing Solutions is a revenue cycle management company specializing in healthcare services for substance use disorder, mental health, and autism care. The Billing Specialist for Behavioral Health will manage accounts receivable, resolve claims issues, and ensure timely collections to support the company's operations and client needs.
BillingConsultingHealth CareMedicalSoftware
Responsibilities
Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims
Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams
Submit corrected claims, appeals, and additional documentation as required to secure reimbursement
Document all collection activities clearly and accurately within our systems
Monitor payor trends and escalate recurring issues to leadership
Meet or exceed daily, weekly, and monthly productivity and quality standards
Support special projects and process improvement initiatives as assigned
Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc
Status claims and add notes in the patient accounting system (CollaborateMD)
Escalate any payor or client claim issues to department leadership
Establish/maintain effective communications with the leadership team to ensure that all third-party guidelines are satisfied
Update patient demographics and insurance information as needed
Ability to meet KPI established metrics for productivity
Qualification
Required
Behavioral health out-of-network billing: 3 years of experience
Knowledge and experience with CollaborateMD EMR and billing software programs
Claims denial experience with follow up from payers including appeals
Preferred
Associate's degree (preferred)
Experience with ABA therapy preferred
Experience/knowledge with CPT and ICD10 codes preferred
Benefits
21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays).
Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
Medical, dental, vision, long-term disability, and life insurance.
Generous 401(k) with up to 6% employer match.
Company
Exact Billing Solutions
Exact Billing Solutions offers revenue cycle management to help reduce medical billing costs.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase