ABOUT THE JOB:

We are a growing mental and behavioral health company based in Arizona that is currently looking for qualified individuals to join our growing team. Lighthouse offers a positive and healthy work environment with opportunities to learn new skills, professional development opportunities, career advancement within the company, and be part of a healthy work environment.

JOB DESCRIPTION:

The billing specialist is responsible for overseeing the billing process for patients and clients.
Their duties include, but are not limited to, collecting and processing payments, managing claims processing and denials, maintaining organized financial records of patients and clients, generating reports of payment, claims, debt, outstanding balance, and patient responsibilities, payment collections, invoicing, and patient and client financial statements.

MINIMUM QUALIFICATIONS:

• Some college or trade school education (in a relevant field).
• Certification in Medical Billing Services.
• Certification in Medical Coding (Preferred).
• Two or more years of relevant experience in a medical environment and facility.
• Two or more years of work experience in the field of mental health, behavioral health, or psychiatric care.
• Physically able to perform typing tasks on a computer, walk, stand, stoop, and bend.
• Possess interpersonal skills to work in a team structure.
• Strong communication skills.
• Proficient in English (oral and written).

EXPERIENCE:

• Experience with using Medical Billing software(s) to collect, post, process payments, and claims.
• Experience in multitasking and prioritizing responsibilities in a work environment.
• Experience with attention to detail and problem-solving in a work environment.
• Strong written, verbal, in-person, and telephonic communication skills.
• Experience working with patients in a medical or clinic environment.
• Experience working with mental health patients, experience working alongside mental health professionals.
• Strong organizational and planning skills.
• Ability to effectively work, communicate, support, and be accepting of individuals of all backgrounds.
• Ability to work accurately, efficiently, and productively based on metric-based evaluations and assessments.
• Ability to maintain positive office etiquette.
• Ability to work effectively under pressure.
• Possess a warm and welcoming personality.
• Maintain positive and constructive rapport with staff, providers, clients, and patients.
• Experience in establishing professional and emotional boundaries with patients and clients.
• Strong computational skills using PC and Mac computers.
• Strong understanding of Microsoft Office software.

• Check and respond to voicemail, phone, text, and email messages promptly.
• Check and respond to internal office messages (ie. Slack), email, text, and phone messages promptly.
• Answer phone calls promptly and courteously, maintaining professionalism at all times.
• Utilize software to identify outstanding accounts.
• Minimize operator error with frequent re-check of work. Must report the error to the supervisor/manager immediately.
• Generate statements and invoices to patients and clients.
• Process all payments using payment services.
• Reconcile all payment with each account.
• Send delinquent accounts to management.
• Regularly review billing and accounting data for accuracy.
• Verify patient insurance eligibility and benefits.
• Obtain referrals and authorizations from insurance companies for procedures and follow-up visits.
• Follow up on unpaid and denied claims and submit appeals, when applicable.
• Audit all payment, accounting, and account for inconsistencies or errors.
• Collaborate with patients, insurance companies, and other team members to resolve billing inconsistencies.
• Inform patients of any missed or upcoming payment deadlines.
• Input payment history or financial data into an individual account.
• Input detailed notes in EMR or any software.
• Collect fees and record information.
• Scan all pertinent documents into patient charts (such as medical records, medical records requests, EOBs, claims, etc.)
• Check faxes: download to patient chart if needed and respond to them, fax inquiry appropriately.
• Document control: Scan/Fax documents/paperwork into patient charts.
• Follow up with client’s admin staff needs regarding billing concerns.
• Provide new and ongoing training supports to new and existing staff members, especially for quality assurance purposes.
• Provide new and ongoing training supports, under the direction of a supervisor/manager, to new and existing externs for educational purposes.
• Contribute to a positive work environment and positive rapport with patients, staff, and providers.
• Be professional and courteous when engaging and communicating with patients, clients, and visitors.
• Maintain a high degree of accuracy regarding all details.
• Meet and coordinate with management to discuss workflow/procedures.
• Respect and maintain strict privacy and dignity of patients: assure patient confidentiality at all times (HIPAA).
• Prepare and present reports to management.
• Perform other duties or follow-ups relevant to assigned project duties and responsibilities.
• Participate in ongoing staff and educational training and quality assurance, and employee development processes.

The Pay (variable):

• The pay rate is negotiable and based on past experience, adaptability, and official certification(s).