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Mental Health Billing and Collections Specialist

3 months ago

Canton, United States Pathway Caring for Children Full time
Job DescriptionJob Description

Join Our Team at Pathway Caring for Children in Canton, OH


Position: Mental Health Billing & Collections Specialist

Location: Canton, OH

Job Type: Full-time

About Pathway Caring for Children:

Pathway Caring for Children is a leading nonprofit organization in Ohio dedicated to enriching the lives of children and families. We provide a comprehensive range of services, including foster care, adoption, mental health services, and behavioral health treatment. Our mission is to create a nurturing and supportive environment for children to thrive while empowering families to overcome challenges and build strong relationships. We pride ourselves on being a vital community resource, promoting the welfare of children and families through our diverse programs and services.

Why Join Us?

  • Impactful Work: Be a part of a team making a real difference in the lives of children and families.
  • Growth Opportunities: Access professional development opportunities and grow your career with us.
  • Collaborative Environment: Work with a passionate and supportive team committed to our mission.
  • Comprehensive Benefits: Enjoy a competitive salary, health insurance, retirement plans, and more.

Position Overview:

We are seeking a dedicated Mental Health Billing & Collections Specialist to join our team in Canton, OH. You will play a crucial role in our financial operations, ensuring efficient billing processes and collections for mental health services. You will report to the Accounting & Billing Supervisor and collaborate with a talented team to support our mission.

Key Responsibilities:

Claims Submission:

  • Generate weekly Incomplete Service Notes Report.
  • Assist with appropriate claims coding and billing patients.
  • Verify client billing data and correct errors before submission.
  • Process claim production reports multiple times a week.
  • Handle weekly and monthly billing in the absence of the Accounting & Billing Supervisor.

Billing:

  • Utilize CPT coding, ICD coding, and HCPCS for mental health services.
  • Manage billing data in electronic health records and process all mental health client billing.
  • Review and correct rejected claims through clearinghouse and insurance websites.

Payment Posting:

  • Review and process EOBs/ERAs, research, and resubmit denied claims.
  • Prepare claim appeals and process payments received.
  • Minimize claim denials to maximize revenue.

Collections:

  • Call clients for collections and monitor aging reports for payment assurance.
  • Interact with staff, clients, and agencies to resolve issues.
  • Attend collection hearings as a representative of Pathway.

General Responsibilities:

  • Assist Accounting & Billing Supervisor and participate in auditing processes.
  • Provide feedback for process improvements and quality assurance.
  • Communicate with clinicians and directors for reporting and updates.
  • Attend biweekly billing meetings and in-service training sessions.
  • Support front desk coverage as needed.

Qualifications:

Education & Experience:

  • At least two years of postsecondary education or equivalent work experience (5+ years) in medical billing, customer service, or collections.

Skills & Abilities:

  • Proficiency in Microsoft Office Programs and general office practices.
  • Strong multitasking, organizational, and communication skills.
  • Sensitivity to cultural differences among children and families served.
  • Working knowledge of ICD10 coding, CPT, HCPCS, EOBs, ERAs, and medical terminology.
  • Experience in Commercial and Medicaid billing related to mental health services preferred.

Other Requirements:

  • Valid driver's license with a good driving record.
  • Automobile liability insurance and access to a well-maintained vehicle.

How to Apply:

If you are passionate about making a positive impact and meet the qualifications listed above, we invite you to apply online. Please submit your resume and cover letter highlighting your relevant experience and why you are excited about joining Pathway Caring for Children.

Pathway Caring for Children is an equal opportunity employer committed to diversity and inclusion. We encourage applications from individuals of all backgrounds.


Pathway is a smoke free and drug free organization. All applicants must be able to pass a background check.



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