Billing/Collections Coordinator-Cary, NC

Cary , United States

SUMMARY:
Responsible for the accuracy of the financial billings for Patterns Behavioral Services. Activities must follow federal, state, and county requirements as well as company policies.

ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to, the following:

  • Maintain billing system, Central Reach software and ensure all claims are billed in a timely manner.
  • Be the primary point of contact for all client billing inquiries.
  • Maintain a positive business relationship with and be the point of contact for all funding sources’ claim departments.
  • Prepare claims weekly and submit them electronically.
  • Complete weekly exceptions reports.
  • Working independently, Problem Solving
  • Diligently follow up with insurance companies when claim denials are received.
  • Work closely with the Eligibility and Benefits Coordinator to ensure correct billings of services and copays based on the client’s plan.
  • Work closely with the Authorizations Coordinator to track and maintain current contracts and correct client information.
  • Any other relevant duties as assigned.


QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

  • At least 3-5 years’ medical Billing experience, High school diploma or general education degree (GED)

LANGUAGE SKILLS

In the English language, the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, co-workers, and the general public.

TECHNICAL SKILLS DESIRED

Microsoft Excel

Google Workspace

Experience with Central Reach is HIGHLY preferred


WORK ENVIRONMENT

The work environment for this position is a fully on-site office environment within our Nashua, NH clinic.

Requirements

EDUCATION and/or EXPERIENCE

  • At least 3-5 years’ medical Billing experience, High school diploma or general education degree (GED)

WE AIM TO BE DIFFERENT. SERVICE AND INTEGRITY OF OUR CLIENTS IS OUR UTMOST CONCERN AND PRIORITY. WE MAINTAIN A CULTURE OF RELENTLESS OPTIMISM AS WE DO WHAT WE'VE BEEN CALLED TO DO.Patterns’ history begins in 1984 with the participation in Positive Behavior Support (PBS) and Applied Behavior Analysis (ABA) clinical studies. Patterns was founded and continues to be led by a team of Board Certified Behavior Analysts (BCBAs) and other highly skilled behavioral therapists focused on building the most experienced, professional and highly trained team of experts that is unparalleled in our field. Patterns delivers ABA Therapy services in a wide variety of settings. For over 25 years, our clinicians led the way by providing ABA services in the Supported Living Residential setting. Patterns continues to provide services to children and adults diagnosed with Autism and other intellectual and developmental disabilities in the home, clinic, school and community-based settings. Our focus and expertise in using the strategies of Applied Behavior Analysis is to constantly strive to create, build, and improve our approach, systems and team in order to provide the highest quality therapy, training and support to honor those whom we serve. Patterns uses individualized, person-centered, compassionate-care practices to design the most appropriate programming for your loved one. Our highly skilled team of clinicians are here to provide you and your family with a wide variety of resources to help you navigate the nuances of living with Autism and other intellectual and developmental disabilities.

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