Billing Specialist / Insurance Collector

Overview

Billing Specialist/Insurance Collector

Full Time. Hourly rate is $19.00-$24.00 range. 

Join our team as a Billing Specialist/Patient Account Rep at Erlanger Behavioral Health Hospital! Located in Chattanooga, Tennessee, our 94-bed treatment center offers superior psychiatric and addiction services to individuals of all ages.

We are looking for someone who has experience with insurance and claims/collections in a hospital setting.

Specializing in exceptional mental health care for various age groups, we cater to adolescent patients aged 12+ and older adults. If you're passionate about making a difference in the lives of those in need through compassionate therapeutic practices and thrive in a supportive team environment that fosters learning and growth, this position is perfect for you! Apply now!

PURPOSE STATEMENT: 

Responsible for providing personal care services to patients at the facility under the direction of clinical or nursing leadership. Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

Responsibilities

• Call and status outstanding claims with third party payors.
• Review claims issues and make corrections as needed and rebill.
• Utilize claims clearing house to review and correct claims. Resubmit electronically when available.
• Review explanation of benefits to ascertain that claim processed and paid correctly.
• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.
• Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.
• Prorate patient accounts and monitor that balance due is in the correct financial class.
• Report an overview of the week to the BOD and participate in AR meetings.
• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.
• Assist financial counselors as needed.
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

· High school diploma or equivalent required.

· Three or more years’ prior admissions and or collections experience in a hospital setting required.

· Psychiatric experience preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

· Not applicable

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHPILOT