Billing & Insurance AR Collection Specialist with experience in Substance Use Disorder (SUD)

2 weeks ago

Dallas, United States CalpionPlutus Health Full time
Job DescriptionJob DescriptionSalary:

About Plutus Health Inc.:  
Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, dedicated to helping healthcare providers improve their financial performance. Our expertise spans across various specialties, including Substance Use Disorder (SUD) treatment. We are committed to delivering exceptional service and innovative solutions to our clients.


 Job Summary:  
We are seeking an experienced AR Caller with specialized knowledge in Substance Use Disorder (SUD) billing. The ideal candidate will be responsible for managing accounts receivable tasks, including following up on claims, resolving outstanding balances, and ensuring timely reimbursement. This role requires strong communication skills, attention to detail, and a deep understanding of the unique challenges associated with SUD billing.


Key Responsibilities:

  • Claims Follow-up: Proactively follow up with insurance companies and other payers to ensure timely resolution of unpaid claims, with a focus on SUD-related services.
  • Denial Management: Analyze and address claim denials, rejections, and underpayments related to SUD treatments, ensuring accurate resubmission or appeal processes.
  • Patient Account Management: Review and manage patient accounts, including verifying insurance coverage, calculating patient responsibility, and coordinating with patients for outstanding balances.
  • Documentation: Maintain detailed and accurate records of all follow-up activities, payer communications, and claim statuses in the billing system.
  • Compliance: Ensure all activities comply with relevant regulations, payer guidelines, and company policies, particularly those related to SUD services.
  • Collaboration: Work closely with billing, coding, and clinical teams to resolve issues and improve the overall revenue cycle process for SUD services.
  • Reporting: Prepare and present regular reports on AR performance, including aging reports, denial trends, and recovery rates specific to SUD billing.




Qualifications:

  • Experience: Minimum of 4-5 years of experience in AR calling, with a focus on Substance Use Disorder (SUD) billing and collections.
  • Knowledge: Strong understanding of SUD treatment services, including relevant billing codes, payer requirements, and regulatory guidelines.
  • Skills: Excellent communication skills, both verbal and written, with the ability to interact effectively with payers, patients, and internal teams.
  • Technical Proficiency: Proficient in using billing software, electronic health records (EHR), and Microsoft Office Suite, particularly Excel.
  • Attention to Detail: Meticulous in reviewing claims, identifying discrepancies, and ensuring accurate resolution.
  • Problem-Solving: Strong analytical skills to investigate and resolve complex AR issues related to SUD services.
  • Education: High school diploma or equivalent required; additional certification in medical billing or healthcare administration is preferred.

Why Join Plutus Health Inc.?

  • Impactful Work: Contribute to a company that plays a crucial role in supporting healthcare providers, particularly in the SUD sector.
  • Professional Growth: Opportunities for continuous learning, development, and career advancement.
  • Supportive Environment: A collaborative team culture focused on achieving success together.
  • Competitive Compensation: Attractive salary and benefits package, including health insurance, paid time off, and more.

  • Billing & Insurance AR Collection Specialist with experience in Urology

    1 week ago

    Dallas, United States CalpionPlutus Health Full time

    Job DescriptionJob DescriptionSalary: About Plutus Health Inc.:  Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services with SOC2 Certification. We are dedicated to helping healthcare providers improve their financial performance. Our expertise spans across various specialties, including Urology. We are committed to delivering...

  • Billing & Insurance AR Collection Specialist with experience in Urology

    6 days ago

    Dallas, United States CalpionPlutus Health Full time

    Job DescriptionJob DescriptionSalary: About Plutus Health Inc.:  Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services with SOC2 Certification. We are dedicated to helping healthcare providers improve their financial performance. Our expertise spans across various specialties, including Urology. We are committed to delivering...

  • Substance Abuse Disorder Billing Expert

    2 months ago

    Dallas, United States CalpionPlutus Health Full time

    Job DescriptionJob DescriptionSalary: Position Summary:We are seeking a knowledgeable and experienced Substance Abuse Disorder Billing Expert, Mental Health inpatient billing Expert to join our team. The ideal candidate will have a deep understanding of billing processes, insurance claims, and compliance specific to substance abuse disorders. This role will...

  • Medical Billing AR Specialist

    3 weeks ago

    Dallas, United States Exceptional Healthcare Inc. Full time

    Job DescriptionJob DescriptionThe Medical Billing AR Specialist is responsible for payer follow-up on claims. AR specialists are expected to complete work on time as assigned by the Accounts Receivable Manager. An AR Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to...

  • Medical Billing AR Specialist

    4 days ago

    Dallas, United States Exceptional Healthcare Inc. Full time

    Job DescriptionJob DescriptionThe Medical Billing AR Specialist is responsible for payer follow-up on claims. AR specialists are expected to complete work on time as assigned by the Accounts Receivable Manager. An AR Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to...

  • Billing and Collections Specialist

    1 week ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Position Overview: We are seeking a detail-oriented Accounts Receivable Specialist to join our team at CornerStone Staffing. This role is ideal for an accounting professional with a solid background in accounts receivable and a passion for working in a dynamic, business casual environment. Job Responsibilities: Process and post payments through various...

  • Medical AR Specialist

    4 weeks ago

    Dallas, United States Dallas Endoscopy Center Full time

    Job DescriptionJob DescriptionJob descriptionDallas Endoscopy Center is looking for an experienced Medical Billing and Collections professional. We are looking for an experienced insurance and patient AR collector for a fast paced billing office. Applicants must have excellent communication skills both written and verbal and you must have at least two years...

  • Billing and Collections Specialist

    2 weeks ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Position Overview:We are seeking a detail-oriented Accounts Receivable Specialist to join our dynamic team. This role is ideal for an accounting professional with a solid background in accounts receivable and a desire to work in a collaborative and relaxed environment.Job Responsibilities:Process and record incoming payments through various methods including...

  • Medical Billing Specialist

    4 days ago

    Dallas, Texas, United States Exceptional Healthcare Inc. Full time

    Job SummaryExceptional Healthcare Inc. is seeking a highly skilled Medical Billing AR Specialist to join our team. As a key member of our Accounts Receivable department, you will be responsible for ensuring timely and accurate reimbursement from payers.Key ResponsibilitiesFollow up on assigned insurance claims to ensure proper reimbursement and resolve any...

  • Medical Billing/Insurance Specialist

    2 weeks ago

    Dallas, United States Bare Dermatology Full time

    Job DescriptionJob DescriptionJob Summary:The Medical Billing/Insurance Specialist oversees operations of insurance and patient collection functions, analyzes data, secure authorizations for surgical patients and maintains integrity of multiple computer applications.DUTIES, RESPONSIBILITIES AND PERFORMANCE CRITERIA: The essential functions include, but are...

  • Medical Billing/Insurance Specialist

    2 months ago

    Dallas, United States Bare Dermatology Full time

    Job DescriptionJob DescriptionJob Summary:The Medical Billing/Insurance Specialist oversees operations of insurance and patient collection functions, analyzes data, secure authorizations for surgical patients and maintains integrity of multiple computer applications.DUTIES, RESPONSIBILITIES AND PERFORMANCE CRITERIA: The essential functions include, but are...

  • Billing and Collections Specialist

    2 weeks ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Position Overview: We are seeking a detail-oriented Accounts Receivable Specialist to join our team at CornerStone Staffing. This role is ideal for an accounting professional with experience in accounts receivable and a passion for working in a dynamic, business casual environment. Key Responsibilities: Manage daily financial transactions, ensuring accurate...

  • Collections & A/R Rep

    2 months ago

    Dallas, United States Exceptional Healthcare Inc. Full time

    Job DescriptionJob DescriptionLooking to Make a Real Impact? Join Our Healthcare Finance Team!We're seeking a detail-oriented Collections and Accounts Representative to play a crucial role in our financial operations. Your expertise will help ensure we can continue providing top-notch healthcare services to our community.Required Experience:1-3 years in...

  • Medical Billing Specialist

    3 days ago

    Dallas, Texas, United States Exceptional Healthcare Inc. Full time

    Job DescriptionAt Exceptional Healthcare Inc., we are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Follow up on all assigned insurance claims to ensure appropriate reimbursement.Process...

  • Billing and Collections Specialist

    2 weeks ago

    Dallas, Texas, United States Texas Sports Medicine & Orthopaedic Full time

    Position in Orthopaedic Surgery BillingWe are seeking a dedicated professional for our Orthopaedic Surgery clinic. This role involves a variety of responsibilities crucial to the financial operations of our practice:Payment Processing: Accurately post payments and charges to patient accounts.Claims Management: Communicate with payers regarding claims status,...

  • Accounts Receivable Specialist in Medical Billing

    2 weeks ago

    Dallas, Texas, United States Exceptional Healthcare Inc. Full time

    Job OverviewThe Medical Billing AR Specialist plays a crucial role in managing payer follow-ups for insurance claims. This position requires timely completion of tasks as directed by the Accounts Receivable Manager. The specialist must adhere to all relevant billing regulations and work collaboratively in a team-focused environment dedicated to delivering...

  • Billing and Collections Coordinator

    2 weeks ago

    Dallas, Texas, United States Deca Dental Group Full time

    OverviewDECA Dental Group is a clinician-founded and clinician-led dental service organization based in Dallas, dedicated to providing high-quality and affordable dental care to patients. As DECA continues to expand its presence nationwide under the Ideal Dental brand, we remain committed to our vision of being the leading provider of comprehensive dental...

  • Healthcare Billing Specialist

    2 weeks ago

    Dallas, Texas, United States Exceptional Health Care Full time

    Job Overview:A Healthcare Billing Specialist is an essential component of the financial operations within medical facilities, contributing significantly to their economic stability. This role encompasses a diverse array of tasks focused on ensuring prompt and precise reimbursement for healthcare services rendered. The Healthcare Billing Specialist is...

  • Healthcare Billing Specialist

    2 weeks ago

    Dallas, Texas, United States Exceptional Healthcare Inc. Full time

    Job DescriptionPosition Overview: The Healthcare Billing Specialist is an essential contributor to the financial operations of medical facilities, ensuring the fiscal stability of healthcare services. This role encompasses a wide array of tasks aimed at securing accurate and prompt reimbursement for healthcare services rendered. The Healthcare Billing...

  • Healthcare Billing Specialist

    1 week ago

    Dallas, Texas, United States Health Care Service Corporation Full time

    As a Healthcare Billing Specialist, you will play a crucial role in the seamless management of patient accounts and billing processes.Your key responsibilities will include:Accurately processing and managing patient claims throughout the billing cycle.Collecting payments, negotiating overdue balances, and facilitating repayment plans.Generating detailed...