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Partnering to improve quality of life as a nonprofit organization dedicated to mental health and wellness

Job: Customer Account Specialist-Medical Biller #212-025

This posting has expired and is no longer available.

Jobing Description

Job Description:

To perform AR related tasks in an accurate, timely and efficient manner including cash receipts, deposit, client income and eligibility verification, billing, follow-up, collection, account resolution, and the recording of AR transactions (cash, revenue adjustments, write-offs, and refunds).  Respond to questions and requests for information from customers (internal and external) and work collaboratively with others in a courteous, timely, and accurate manner.

Essential Duties:

• Complete the billing process and submit accurate bills to the fund source on a monthly basis and within the filing requirements.

• Complete the deposit process on a daily basis including accurate, timely and efficient recording to the General Ledger system.

• Follow-up on all denials and past due accounts and maximize collections where possible.

• Perform the following tasks on an accurate, timely and efficient basis: client income and eligibility verification, claims editing, billing, rebilling, denial resolution, follow-up, collections, refunds, revenue adjustments, deposit, cash application, customer inquiries and reporting.

• Ensure that payer specific goals for cash collections, write-offs, and days outstanding, AR greater than 60 days, unapplied cash and billed outstanding greater than 25 days are met on a monthly basis.

• Respond to questions and requests for information from customers (internal and external) and work collaboratively with other staff, clients and/or external third-party payers in a courteous, timely, and accurate manner.

• Complete client income and/or eligibility verifications within 24 business hours of notification and inform applicable staff and/or client of status.

• Ensure all necessary information to ensure a clean bill is submitted to the carrier during the initial billing.  

• Ensure AR postings reflect accurate, timely and efficient information.

• Research and resolve problems for billing failures and/or re-bills on a monthly basis for assigned specific payer groups.

• Monitor the aging for assigned payer groups on a weekly basis and take appropriate action to resolve open balances that are over 60 days.

• Submit authorization requests and enter in system when received.

• Maintain and share knowledge of specific payers to ensure compliance with billing requirements and timely update to the computer system for billing and/or reporting purposes.

• Support the AR Supervisor(s) with reporting, or other requests.

• Recommend to the AR Supervisor(s) suggested improvements, efficiencies and training needs for their area of responsibility to enhance customer satisfaction, the AR process, to eliminate duplication and increase automation.

• Other duties as assigned.

Skills / Requirements

Minimal Qualifications:

• High School diploma or equivalent required. Post high school business training desired.

• Minimum three years recent accounts receivable/customer service experience in healthcare billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance.

• Experience in private pay collections preferred.

Knowledge, Skills and Abilities:

• Excellent customer service and interpersonal skills.

• Good working knowledge of paper and electronic billing processes.

• Ability to organize and prioritize work; detail-oriented.

• Ability to research and solve problems.

• Comfortable making billing decisions with minimal supervision.

• Able to multi-task and work in deadline-oriented environment.

• Good verbal and written communication skills.

• Able to work well independently as well as in a team setting.

• Intermediate knowledge of MS Excel, MS Word and Outlook. 

We are an Equal Opportunity Employer


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