Job Description

Billing Specialist | Peak View Behavioral Health | Colorado Springs, Colorado

About the Job:

PURPOSE STATEMENT:

The Billing Specialist is responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts which include billing, collections, follow up, reporting, and other duties as assigned to maximize re-imbursement of services provided to achieve established hospital goals.

Pay Range: $27.50-29.00 hourly

Roles and Responsibilities:

ESSENTIAL FUNCTIONS:

• Ensures that certified coding specialists have audited patients’ billing records against clinical records before billing and maintains supporting documentation of audit in the patients’ billing files.
• Manages assigned accounts receivable balances to ensure that appropriate payer sources are billed timely and accurately, and payments are made within payment terms.
• Documents/communicates billing released to third party payers.
• Follows up on any outstanding account balances in a timely manner and resolves any issues immediately to ensure prompt payment within payer payment terms to allow for an effective and efficient cash flow of hospital receivables.
• Conducts on-going account audits utilizing AR, Billed Open, and Unbilled Reports for determining the efficiency and accuracy of billing and collections operations.
• Generates secondary claims and rebills, verifies claim form is accurate and transfers/releases to third party payer.
• Reviews Rebill/Denial Log daily and processes rejections from EOB/ERA.
• Performs timely processing of refund requests.
• Accurately and timely performs data entry of charges, payments, adjustments, and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred.
• Records and balances both A/R and miscellaneous cash.
• Prepares bank deposits and post cash and adjustments to patient records as required.
• Retrieves and performs electronic billing to insurance companies in a timely manner.
• Makes follow up calls to insurance companies and guarantors as required.
• Checks the accuracy of figures, calculations and postings pertaining to business transactions recorded by others.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required. Associates’ degree in accounting/finance preferred.
• Two or more years’ of business office experience and Accounts Receivable required, preferably in medical/psychiatric setting.
• Knowledge of general office procedures and electronic billing required.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Not applicable.

WORK LOCATION:

This position is onsite and is not a remote position.

SUPERVISORY REQUIREMENTS:

This position is an Individual Contributor.

Why Peak View Behavioral Health-Peak View Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Peak View Behavioral Health is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.