Patient Account Specialist at ODYSSEY BEHAVIORAL GROUP

Anderson, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Apr, 26

Salary

0.0

Posted On

14 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Accounts Receivable, Insurance Claims, Billing Software, Customer Service, Problem Solving, Communication, Attention to Detail, Confidentiality, Financial Reporting, Reconciliation, Healthcare Knowledge, Mental Health, Behavioral Healthcare, Documentation, Compliance

Industry

Mental Health Care

Description

Job Details Level: Experienced Job Location: Anderson, IN 46011 Position Type: Full Time Education Level: High School Travel Percentage: Negligible Job Category: Accounting This position is onsite in the Selah House Business Office located in Anderson IN. Who We Are: Join a passionate and caring team who work collaboratively to support our clients! The Odyssey Eating Disorder Network offers a robust continuum of services for adults and adolescents of all genders in multiple states that specialize in a full array of eating disorder diagnoses and co-occurring conditions. Across our eating disorder network, we meet clients where they are in their recovery and provide the necessary therapeutic techniques to empower sustainable freedom. Our expert clinical teams help clients understand recovery is possible by using individualized treatment plans comprised of a combination of evidence-based treatment modalities. Our goal is to make each client feel safe and close to home by conducting all levels of treatment in comfortable and home-like settings designed to offer a clear step-down process, so clients feel continually supported in their recovery journey. What We Offer: Collaborative environment dedicated to clinical excellence Multiple Career Development Pathways Company Supported Continuing Education & Certification Multiple Health Plan Design Options Available Flexible Dental & Vision Plan Options 100% Company Paid EAP Emotional Well-Being Support 100% Company Paid Critical Illness (with health enrollment plan) 100% Company Paid Life & ADD 401K with Company Match Company-Sponsored HSA, FSA, & DSA Tax Savings Accounts Generous Team Member Referral Program Parental Leave How You Will Contribute: The Patient Account Specialist is responsible for overall revenue cycle functions. The Patient Account Specialist helps improve cash flow and participates in increasing the overall health of the company’s receivables. Relationships and Contacts Within the organization: Maintains close and frequent contact with the finance and revenue cycle team members within Odyssey and other locations as assigned. Outside the organization: Maintains close and frequent contact with insurance providers and third-party vendors, as necessary. Essential Responsibilities: Performs timely follow up on aging AR. Researches and resolves rejected, incorrectly paid, and denied 837 claims. Keeps accurate and detailed updates in the billing software of all claims’ statuses. Understands and consistently applies thorough understanding of all insurance plans. Understands and interprets insurance Explanation of Benefits, knowing when and how to ensure that payment has been received. Skillfully and professionally navigates phone calls with insurance companies and websites to effectively reprocess unpaid or incorrectly paid claims. Understands authorizations and limits to coverage such as the number of authorizations/units. Responds in a professional and timely manner to all billing-related inquiries from patients, staff and payers. Completes complex billing functions, such as creating corrected claims, creating voided claims, secondary billing, and appeals. Reviews patient bills for accuracy and completeness and obtain any missing information. Consolidates and sends all requested medical documentation to insurance companies to ensure timely review and adjudication. Provides excellent customer service with the ability to communicate to both insurance companies as well as families in the efforts of collecting outstanding balances. Performs month end account review for remainder billing, Room & Board charges, and unapplied balances. Additional Responsibilities: Documents billing and collection activities and communicates to supervisor as appropriate. Prepares reports and reconciliations as needed. Completes daily, weekly, and monthly assignments as assigned by Supervisor. Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information. Functions within the guidelines of the facility’s Code of Ethics and in accordance with corporate compliance. Updates job knowledge by participating in educational opportunities; reading professional publications related to the Odyssey Eating Disorder Network and population. Provides a high level of customer service to both internal and external stakeholders. Performs other related duties as assigned. Qualifications What We Are Seeking: Education and Experience High school diploma or equivalent and at least two (2) years of healthcare insurance accounts receivable experience required. Prior experience in Mental Health, Substance Abuse Disorder Treatment or behavioral healthcare field preferred. Odyssey Behavioral Healthcare, LLC provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. Odyssey Behavioral Healthcare, LLC reserves the right to modify, interpret, or apply this job description in any way the organization desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.” ISJP123

Responsibilities

The Patient Account Specialist is responsible for overall revenue cycle functions, improving cash flow, and enhancing the health of the company’s receivables. This includes timely follow-up on aging accounts receivable and resolving claims issues.