Acadia Healthcare · 2 weeks ago
Billing Specialist
Franklin, TN
Full-time
Hybrid
Entry, Mid Level
2+ years expAcadia Healthcare is a leading national network in the healthcare industry, and they are seeking a Billing Specialist. The role involves managing billing processes, verifying insurance benefits, and ensuring timely collections and documentation of accounts receivable.
Mental Health Care
Responsibilities
Responsible for the timely verification of insurance benefits provided via websites and/or calling the payor
Responsible for updating patient Billing Episodes and crediting account, as appropriate
Obtain precertification and authorizations for services being rendered
Review and resolves prior authorization/precertification/referral issues that are not valid and contacts insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial
Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed
Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly
Clinic Emails – responsible for managing clinic emails throughout the day (i.e., re-verification requests, balance inquiry, etc.). All clinic emails must be responded to by close of business daily
Identify and forward potential reimbursement problems to Revenue Cycle Manager
Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations and eligibility
Responsible for billing all patient claims in a timely manner (weekly billing, secondary and out-of-network plans)
Review claims issues make corrections as needed and rebill. Utilize claims clearinghouse to review and correct claims and to resubmit electronically when available
Responsible for evaluating bill cycles and changing/updating when necessary
Responsible for printing daily billing reports – both electronic and paper claims. Monitor validation percent
Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and “Rejected” claims due to eligibility, coordination of care and authorization as part of accounts receivable
Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation
Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment
Qualification
Required
High school diploma or GED equivalent required; prefer some college or technical school coursework
2+ years of healthcare billing experience, preferred
Healthcare payor claims follow-up or accounts receivable, preferred
Healthcare background with payor appeals experience, preferred
Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint
Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
Self-motivated with strong organizational skills and superior attention to detail
Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes
Preferred
2+ years of healthcare billing experience, preferred
Healthcare payor claims follow-up or accounts receivable, preferred
Healthcare background with payor appeals experience, preferred
Benefits
Comprehensive Medical, Dental, & Vision insurance
Competitive 401(k) retirement plan
Generous PTO: Paid vacation, personal time, sick Leave, and extended sick Leave
Career advancement opportunities across a leading national network
Company
Acadia Healthcare
Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Anna M Gaddy, MA, LCAS, CCS
Chief Executive Officer-Carolina House
Bruce Melosh
CEO - Rebound Behavioral Health
Recent News
2024-05-02
2024-04-09
2024-04-09
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