Customer Account Specialist (Billing)

at  Harbor Inc

Harbor is seeking a Client Account Specialist (Billing) with previous experience in denials management. The ideal candidate will possess strong communication and problem-solving skills. Works collaboratively with internal and external customers to obtain, update, submit, and interpret client account information.
Position is full time

Education/Experience/Other Requirements:

• Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
• Demonstrated knowledge and understanding of health/behavioral health billing procedures and eligibilities for third-party providers preferred.
• Previous coding experience in a behavioral healthcare setting preferred.
• Strongly prefer prior experience in customer service and behavioral health setting.
• Must have strong attention to detail and be able to communicate effectively with various individuals.
• Competent computer/PC skills using Microsoft Office 365, Excel, and electronic health record systems.
• Must be able to establish daily work priorities and work independently and efficiently to meet deadlines
• Must be honest, dependable, self-disciplined, organized and be able to work well as a team member.

Customer Accounts Specialists may be assigned specific primary tasks and/or distinct client or payer populations for primary accountability and oversight

• Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician.
• Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
• Reviews, monitors, updates and ensures timely submission and follow up for payer authorizations
• Prepares paperwork for self-pay accounts to be sent to collections and adjusts self-pay balances when accounts are sent to collections.
• Maintains current knowledge regarding public payers, third-party and first-party payment procedures and regulations.
• Monitors dashboard and runs reports daily to monitor and initiate corrective actions as necessary to ensure accuracy and completeness of billing, service and charge information for timely submission.
• Processes daily mail payments and Explanation of Benefits that accompany payments.
• Reviews charges for accuracy and generates claims for billing to payers and/or clients and follows up timely on claim generation errors.
• Enters payments received and balances input to deposit.
• Investigates denials from payers and initiates timely follow up.