Description
About the Role
Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve.
The AR Specialist (Remote in AZ, TX, NC, SC, and FL) is responsible for collecting outstanding receivables from assigned collection cases following policies and procedures set forth. They are responsible for providing excellent customer service that meets and exceeds internal and external customer expectations. They are effective communicators who can express themselves daily in a professional manner both verbally and in writing, as well as a proactive professional who can identify trends and solve them promptly. They are a key player in maximizing collections efforts to enhance the overall Accounts Receivable performance. This position reports to the RCM Manager and will work closely with the RCM Management Team and staff.
Responsibilities
- Responsible for assigned healthcare claims and collecting the appropriate amounts as set forth by contracts or out-of-network reimbursements
- This position is responsible for collecting outstanding receivables from insurance companies, patients, and physicians
- Provide excellent customer service to patients, providers, and other customers
- Work in a high-volume medical collections environment while maintaining exceptional standards of excellence
- Strategic in working with insurance companies, healthcare providers, and patients to get a claim processed and paid on a timely basis
- Maximize collections efforts to enhance the overall Accounts Receivable performance
- Follow through on rejected or denied claims, contacting third-party payers and/or patients for timely payment resolution
- Ability to accurately review and bill all secondary and tertiary insurances to correct charges, bill forms, and supporting documentation (EOBs)
- Appropriately identify rejected or denied claims, work to ensure that trends are identified and resolved quickly
- Maintain daily billing queues by working and reporting claim edits or following up on claim issues
- Perform daily financial transactions which include computing, posting, verifying, and recording accounts receivable data as well as prepare, process, and resolve adjustments and payment discrepancies
- Work independently while maintaining confidentiality and following HIPAA regulations
- Manages daily workflow in a production environment and utilizes all available resources to complete daily work assignments in a timely manner
- Maintains work operations by following policies, procedures, and reporting compliance issues
- Updates job knowledge by participating in educational opportunities, reading professional publications, keeping current on Medicaid/Medicare billing, and reimbursement procedures
- Supports a teamwork environment and participates in required virtual meetings (via Teams or Zoom)
- Other assigned duties assigned
Qualifications
- High school diploma or equivalent
- 3+ years of billing experience required
- Previous years’ experience in mental/behavioral health and at-risk payers is a plus
- Experience using AdvancedMD, NextGen, or Insync databases highly desire
- Knowledge of insurance payer requirements as it relates to benefit coverage, referrals, and authorizations
- Knowledge of processes and methods for maintaining clear and precise notes received from insurance payers related to insurance verification and communication with payers
- Knowledge of insurance billing and collection guidelines including HMO/PPO, Medicare, Medicaid, other third-party payers, HCPC, CPT, ICD-10, coding and medical terminology, LCDs (Local Coverage Determinations), payer billing guidelines and medical policies
- Knowledge of working in online payer portals such as: Availity, NaviNet, etc.
- Knowledge of computer systems, programs, data entry, and spreadsheet applications is essential, including knowledge of MS Office applications including MS Word, PowerPoint, and Excel
- Detail-oriented self-starter with a strong work ethic
- Highly professional, confident, conscientious, and cooperative attitude
- Strong written, and verbal communication and organizational skills, as well as excellent customer service skills
- Knowledge and understanding of legislation and regulations regarding healthcare practices and CMS regulations
- Ability to multi-task and meet deadlines as well as be proactive, self-directing, and take initiative
- Ability to collaborate effectively with medical staff, revenue cycle team, and external agencies
- Ability to prioritize tasks and initiatives while managing multiple projects
The Benefits
We offer a robust benefits package to include:
- Medical, Dental, Vision, and EAP
- LTD/Life Insurance
- 401k with employer match
- PTO accrual starting at 15 days per year
- Paid Parental Leave
- Tuition Reimbursement Program
About Mindpath Health
Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve. As a national leader in mental health services, we are reimagining care delivery, reaching patients and focus on clinical excellence. With a team of more than 500 mental health clinicians, Mindpath Health provides a broad spectrum of psychiatry, interventional psychiatry (including TMS and esketamine) and psychotherapy care.
At Mindpath Health, we offer telehealth and in-person visits and coordinate care with primary care physicians and referring providers to ensure a focus on the total health. Mindpath Health is in-network with most major health insurance providers and has more than 80 locations across California, North Carolina, South Carolina, Florida, Texas, Arizona, and growing.
Join our community and discover how rewarding work can be!
Mindpath Health is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, veteran status, or any other status legally protected by federal, state, or local law.
