Sr. Billing Specialist
Mentor, Ohio, United States of America
Full Time
2 weeks ago
Key skills
CCommunication
About this role
Crossroads Health, a 501(c)(3) non-profit organization with facilities located in Mentor, Painesville, and Cleveland, serves Northeast Ohio communities with comprehensive behavioral and primary integrated healthcare, early childhood services, extended housing and recovery services—no matter one’s ability to pay. Our mission is to provide hope, healing, and healthcare to everyone.
We are currently looking for a decisive, self-motivated individual to be a Sr. Billing Specialist. The Senior Billing Specialist is responsible for the billing, payment posting, and collection of accounts receivables and special projects assigned to assist with aging accounts receivable. Parties responsible for payment include but are not limited to the client, third party insurances, Medicaid and the ADAMHS Board.
More specifically, this position is responsible for:
- Billing client, MACSIS(ADAMHS Board, Medicaid), insurances, and all other potential billing parties in a timely manner.
- Verifying client insurance coverage, additional billing information from MACSIS, insurance companies in a consistent and timely manner.
- Work within the team and payer structures to reduce outstanding accounts receivable. Assist in efforts that resort in additional reimbursement for the organization.
- Follow up on all claims that have been denied by payers to determine needs and effectively turn the denial into payment based on payer guidelines
Position Requirements:
- High School Diploma/GED required. Associate’s degree or higher preferred.
- 5 years’ experience in a Billing Specialist role within a health center and or a nonprofit organization required.
- Must be highly proficient using MS Office Suite of products.
- Excellent interpersonal and communication skills.
- Must be a team player who values delivering outstanding customer service.
Our Organization is committed to equal employment opportunity. We do not discriminate against employees or applicants on the basis of race, color, religion, gender/sex (including pregnancy, childbirth, and pregnancy-related conditions), sexual orientation, gender identity, national origin, age, physical or mental disability, veteran status, uniform service member status, genetic information, or any other status protected by law. We are a drug free work environment and all new hires are required to take and pass a 10 panel drug screen which includes screening for the presence of THC.