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Billing and Collection Specialist
2 months ago
Encircle is a non-profit organization with the mission to bring the family and community together to enable our LGBTQ+ youth to thrive. Our guiding philosophy of "No Sides, Only Love" is at the heart of all our programs, services, and activities. If you are looking to join a team filled with driven and friendly people, you have found it.
Job Summary:
Encircle Therapy is looking to hire a full time Billing and Collection Specialist. This position works closely with patients, clinicians, and finance team to assist with billing clients, insurances, and keeping track of all A/R. This position will lead out credentialing requirements for our clinic, submitting and obtaining acceptance for all of our providers. Completing projects as assigned to help ensure the operations and efficiency of Encircle Therapy practice.
We are looking for someone based in the greater Salt Lake City area, with the ability to work remotely, as well as visit the Encircle homes regularly. This role is a full time hybrid position, with some remote work and some required work in-person in SLC/Utah county.
Compensation: $22-24 per hour, depending on experience. Compensation package also includes paid holidays, PTO, and medical/dental/vision benefits.
Responsibilities:
- Support billing specialist with contacting insurance companies, patients, and other third-party payers regarding claim status and payment
- Monitor and follow up on patient and insurance A/R
- Responds to correspondence from insurance companies, patients, and other third-party payers in a professional and timely manner
- Refiles/Rebills claims as necessary, ensuring that all information contained on the claim is accurate and complete
- Answers incoming phone calls from patients and/or third-party payers
- Identifies and reprocesses claims requiring claims appeal and/or further coding review
- Works with patients to resolve outstanding insurance and/or patient balances
- Verify insurance coverage, and DME benefits to ensure that each referral has the correct insurance added into their account, and that the patient has DME benefits
- Manage all assigned accounts such as insurance collections, processing and posting ERA's
- Submit EDI claims
- Monitor and follow up on patient and insurance A/R
- File appeals on denied claims, follow up on rejected or denied claims
- Answer all billing questions from clients, and patients, make outbound collection calls to patients regarding their balance
- Maintain and obtain credentialing status with all insurances Encircle works with for all providers.
- Other duties as may be assigned
Qualifications:
- 4+ years of medical billing experience
- High school diploma or GED
- Experience using AdvancedMD or similar medical EHR
- Experience credentialing with insurance companies
- Have proven verbal and written communication skills, ability to work well under pressure and willingness to be flexible and adaptable as needed
- Mature, energetic, enthusiastic and motivated person that wants to be a team player
- Enjoy working in a fast-paced environment, talking on the phone with patients, potential patients, and other medical and legal professionals on a daily basis
- Skilled at working with various personality types and be able to multitask and produce positive results
- Have good phone skills and excel at Customer Service
- Be organized
- Be self-directed and be able to work with minimal supervision
- Have the ability to prioritize workflow, problem solve and identify best possible solution
- Be proficient at Microsoft Windows, Outlook, Word, and Excel
- Have a positive attitude and exhibit patience
- Understand laws and ethics related to health insurance, medical billing and the Health Insurance Portability and Accountability Act (HIPAA)
About Encircle Therapy:
Encircle Therapy was created as an integral component of the life-saving and affirming programming Encircle provides to help LGBTQIA+ youth and their families thrive. Encircle Therapy facilitates healing by providing ethical, affordable, and evidence-based mental healthcare for LGBTQIA+ youth navigating the intersection of identity development within a cis/heteronormative culture & religiously conservative communities.
We value diversity of experience and training, and recognize the resilience of those who are underrepresented and systematically oppressed. We continue to work towards anti-oppressive hiring practices, employment environments, & policies. We welcome applicants of all backgrounds, ethnicities, & identities, who are passionate & thoughtful about healing our LGBTQIA+ community.
