Behavioral Health Group - BHG · 4 days ago
Accounts Receivable Representative
Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited treatment centers and a leading provider of opioid addiction treatment services. The Revenue Cycle Specialist will act as a key member of the Revenue Cycle Department, facilitating claims, payments, and verifications while providing updates on the financial stability of treatment centers.
Addiction TreatmentHealth CareInsuranceOutpatient CarePayments
Responsibilities
Reviews claims data to ensure 3rd party billing requirements are met
Reviews claims to ensure eligibility, prior authorizations and proper signatures
Submits claims in an organized sequence in order to achieve reimbursement from private payers, insurance companies and government healthcare programs Medicaid, VA, etc.)
Investigates denied claims through research and applicable correspondence and follows through to resolution
Successfully resolves payment discrepancies in a timely manner
Escalates issues appropriately and promptly to supervision
Verifies and informs treatment center staff about the patient’s financial accountability and 3rd party reimbursement, as applicable
Posts payments and adjustments while ensuring all deposits are balanced daily
Documents payment records and issues as they occur
Completes reporting requirements as required by company policy and requested by supervision
Demonstrates an understanding of NPI, taxonomy and electronic claim submission requirements
Identifies underpayments and overpayments/credits to determine steps for resolution
Retrieves missing payment information from payers through various methods (phone, payer portals, clearing houses, etc.)
Reads debits and credits on accounts and takes necessary action to resolve
Performs other duties assigned by supervision
Responsible for complying with all federal, state and local regulatory agency requirements
Responsible for complying with all accrediting agencies
Participate in community and public relations activities as assigned
Responsible for the achievement of assigned specific annual goals and objectives
Demonstrates the belief that addiction is a brain disease, not a moral failing
Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members
Establishes and maintains positive relationships in the workplace
Can work independently and under pressure while handling multiple tasks simultaneously
Makes decisions and uses good judgment with confidential and sensitive issues
Deals appropriately with others in stressful or other undesirable situations
Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies
Attend conferences, meetings and training programs as directed
Participate in and/or schedule and attend regular in-service trainings
Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment
Qualification
Required
High school Diploma or equivalent
Preferred
Denial Management Skillset
Strong knowledge of Excel
High integrity
Excellent verbal and written communication skills
Sound judgment
Efficient
Self-starter
Strong interpersonal communication skills
Valid driver's license
Healthcare experience preferred
Experience in front desk, admissions, billing, and/or collections
Strong customer service and interpersonal communication skills
Accurate data entry and basic keyboarding skills
Ability to work independently under pressure and handle multiple tasks simultaneously
Ability to enforce fee collection policies
Basic computer/word processing skills
Knowledge and use of typical office equipment (calculator, fax machine, copier, computer, telephone, postage meter, scales, scanner, and computer programs)
Knowledge of basic math, accounting, and accounts receivable
Benefits
Generous paid time off
Holidays
Personal needs
Flexible schedules with early in/early out hours
No nights
No Sundays
Health insurance
Life insurance
Vision insurance
Dental insurance
Tuition reimbursement
Competitive 401K match
Competitive pay
Quarterly bonuses
Incentives for certifications or licenses
Exclusive discounts on various services and entertainment options
Employee Assistance Program
Self-care series
Company
Behavioral Health Group - BHG
Behavioral Health Group (BHG) is the largest network of Joint Commission-accredited outpatient opioid treatment and recovery centers in the U.S., delivering comprehensive, personalized evidence-based medical and behavioral therapies for individuals with opioid use disorder.
Funding
Current Stage
Late StageTotal Funding
unknown2006-01-01Seed
Recent News
2025-10-24
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