Sprout Therapy PDX · 1 day ago
Billing Clerk
United States
Full-time
Remote
Mid Level
3+ years expSprout Therapy PDX is dedicated to creating a supportive environment for mental health and wellness. They are seeking a Billing Clerk to manage billing and claims processes, provide customer service to clients regarding billing inquiries, and support insurance verification efforts.
Mental Health Care
Responsibilities
Submit insurance and Medicaid claims accurately and timely via electronic claim submission
Monitor claim status and manage claim workflows through the EHR and payer portals
Follow up on unpaid, rejected, or denied claims electronically and by phone
Review EOBs, EOPs, and RAs to ensure accurate payment posting and reconciliation
Submit corrected, secondary, or resubmitted claims as needed until payment is received
Make coding and modifier adjustments in collaboration with leadership as required
Track claims and maintain organized billing records and reporting
Respond to client inquiries regarding invoices, statements, balances, and payments
Explain charges, insurance determinations, copays, deductibles, and balances due in a clear and supportive manner
Coordinate payment arrangements when applicable and escalate concerns appropriately
Maintain a client-centered, respectful, and professional billing experience
Verify insurance benefits and eligibility electronically and by phone
Confirm coverage details including copays, deductibles, authorization requirements, and exclusions
Communicate verified benefits and changes to clients, clinicians, and leadership as needed
Support intake and onboarding workflows related to insurance verification when required
Work with Intake Coordinator to provide client and clinician support regarding insurance and billing questions
Support staff as needed on general billing/coding questions
Ability to stay organized amidst multiple tasks and roles
High attention to detail and ability to prioritize various projects independently
Be a problem solver and think ahead to ensure any challenges don’t greatly impact progress or outcomes for clients or Sprout Therapy PDX
Ability to set goals and develop achievable timelines to hit them
Regular and reliable attendance and timely arrival to work is required
Attend mandatory staff meetings and training as directed by Sprout Therapy PDX
Passion for working with others (being collaborative) and helping our team members grow and learn
Other duties as assigned
Qualification
Required
Alignment with our company's culture, mission, and values
Be organized and detail oriented, punctual, and professional
Self-directed, responsible, confident, and quick
Have strong written and verbal communication skills and strong interpersonal and customer service skills
Preferred
At least 3+ years billing experience in mental health systems or agencies is a plus
Knowledge of Sprout Therapy PDX client experience goals and how to achieve client satisfaction
Company
Sprout Therapy PDX
Sprout Therapy PDX is a group mental health practice serving the State of Oregon.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase