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Are you interested in joining a dynamic company that delivers successful in home treatment to clients with substance use disorder? If you are a caring, compassionate and capable Billing & Payment Specialist who meets or exceeds the following, we want to hear from you!
Aware Recovery Care (ARC) offers a holistic approach to treatment and changes the way clients receive care throughout the northeast. ARC is a year-long, home based, addiction treatment program that works collaboratively with a multidisciplinary team to assist clients in their first year of recovery.
In this workplace, employees are given more freedom to map their paths to growth ( with the financial and moral support that they need ) .
Position Summary:
The purpose of the Billing & Payment Specialist is to provide explanations or solutions to client concerns and questions regarding charging, insurance, and patient billing issues.
*Hybrid out of Wallingford, CT*
*$21-$24 an hour
****NO PHONE CALLS PLEASE****
******Aware Recovery Care is an equal opportunity employer.*******
The role of the Billing and Payment Specialist is to analyze the claims submission and billing process to determine appropriateness and accuracy. The Billing and Reimbursement Specialist is responsible for handling claims processing including Accounts Receivable aging/collections and reviewing returned, disputed or rejected claims from commercial payers.
● Generate patient statement reports to third party vendors.
● Ability to post payments daily. Reconcile daily, weekly and/or monthly with Aware Finance Team.
● Reconcile daily charges and assist in all month end reporting.
● Identify and communicate with payer and/or system trends to Management with regards to claim payment errors to clearinghouse, payer rejections, etc.
● Maintain thorough knowledge of payer contract, regulations and guidelines, as well as State and Federal laws relating to billing and reimbursement procedures to ensure accurate and compliant billing processes.
● Take initiative and action to respond and resolve customer billing and reimbursement inquiries in a timely manner.
● Resolve Billing issues in-house as it relates to payments received.
● Run daily, monthly and annual reports.
● Ability to work caseload and multi-task across multiple platforms.
● Outbound phone calls to payers.
● Outbound phone call to clients.
● Troubleshoot all inquiries from the organization and other entities based on insurance carrier information rules and regulations
● Accountable for outstanding customer service that drives quality and an exceptional customer experience
● Adapts to organizational change and departmental restructuring to fit the needs of our clients and payer sources.
● Perform miscellaneous job-related duties as assigned.
● High School graduate or equivalent
Experience:
● Minimum two years of previous healthcare billing and reimbursement
● Knowledge of CMS 1500, CPT codes and ICD-10
● Knowledge of 837 billing processes and 835 processes Computer Skills:
● Proficient keyboarding and computer skills including word processing, spreadsheet, and Client Accounts software
Key Competencies:
● Exceptional organizational and leadership skills
● Efficient work ethic
● Ability to easily adapt and multitask
● Strong ability to collaborate and perform in a team-oriented environment as demonstrated by prior experience
● Professional and proficient written and verbal communication
● High level of integrity and professionalism
● Ability to use electronic health records, phone systems, customer resource management software, and more general office computer systems
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Why You'll Love This Job
Are you interested in joining a dynamic company that delivers successful in home treatment to clients with substance use disorder? If you are a caring, compassionate and capable Billing & Payment Specialist who meets or exceeds the following, we want to hear from you!
Aware Recovery Care (ARC) offers a holistic approach to treatment and changes the way clients receive care throughout the northeast. ARC is a year-long, home based, addiction treatment program that works collaboratively with a multidisciplinary team to assist clients in their first year of recovery.
In this workplace, employees are given more freedom to map their paths to growth ( with the financial and moral support that they need ) .
Position Summary:
The purpose of the Billing & Payment Specialist is to provide explanations or solutions to client concerns and questions regarding charging, insurance, and patient billing issues.
*Hybrid out of Wallingford, CT*
*$21-$24 an hour
****NO PHONE CALLS PLEASE****
******Aware Recovery Care is an equal opportunity employer.*******
The role of the Billing and Payment Specialist is to analyze the claims submission and billing process to determine appropriateness and accuracy. The Billing and Reimbursement Specialist is responsible for handling claims processing including Accounts Receivable aging/collections and reviewing returned, disputed or rejected claims from commercial payers.
Responsibilities
● Responsible daily bill for all charges for all Aware agencies.● Generate patient statement reports to third party vendors.
● Ability to post payments daily. Reconcile daily, weekly and/or monthly with Aware Finance Team.
● Reconcile daily charges and assist in all month end reporting.
● Identify and communicate with payer and/or system trends to Management with regards to claim payment errors to clearinghouse, payer rejections, etc.
● Maintain thorough knowledge of payer contract, regulations and guidelines, as well as State and Federal laws relating to billing and reimbursement procedures to ensure accurate and compliant billing processes.
● Take initiative and action to respond and resolve customer billing and reimbursement inquiries in a timely manner.
● Resolve Billing issues in-house as it relates to payments received.
● Run daily, monthly and annual reports.
● Ability to work caseload and multi-task across multiple platforms.
● Outbound phone calls to payers.
● Outbound phone call to clients.
● Troubleshoot all inquiries from the organization and other entities based on insurance carrier information rules and regulations
● Accountable for outstanding customer service that drives quality and an exceptional customer experience
● Adapts to organizational change and departmental restructuring to fit the needs of our clients and payer sources.
● Perform miscellaneous job-related duties as assigned.
Skills & Qualifications
Education:● High School graduate or equivalent
Experience:
● Minimum two years of previous healthcare billing and reimbursement
● Knowledge of CMS 1500, CPT codes and ICD-10
● Knowledge of 837 billing processes and 835 processes Computer Skills:
● Proficient keyboarding and computer skills including word processing, spreadsheet, and Client Accounts software
Key Competencies:
● Exceptional organizational and leadership skills
● Efficient work ethic
● Ability to easily adapt and multitask
● Strong ability to collaborate and perform in a team-oriented environment as demonstrated by prior experience
● Professional and proficient written and verbal communication
● High level of integrity and professionalism
● Ability to use electronic health records, phone systems, customer resource management software, and more general office computer systems