There is a place for you at Highland Rivers Behavioral Health!Highland Rivers Behavioral Health provides treatment and recovery services to individuals impacted by mental illness, substance use disorders and intellectual developmental disabilities.JOB SUMMARY: The Billing Specialist is responsible for verifying new payers daily, and current payers weekly/monthly. Additionally, staff will prepare monthly billing reports, including self-pay statements, the VA report, and others as needed. Staff will also handle credentialing for staff with Medicare, Medicaid, and the various commercial payers. This individual will also prepare and submit applications for adding services and sites as well as sending in changes when needed. The Billing Specialist will answer all incoming department calls and assist individuals when necessary. Staff will manage and research self-pay accounts and special projects. Claims and denials for assigned payers will be worked as adjudication occurs. This staff will support fellow Billing staff when applicable. Staff will post payments for assigned payers. Additional duties as assigned.Are you ready to make a Difference?DUTIES ANDRESPONSIBILITIES:

• A/R management of self-pay accounts to include reconciliation of past due accounts; fielding inquiries from external and internal clients; sending monthly statements.
• Update insurance and demographic information as necessary for correct/clean claim submission.
• Initiate appropriate requests for refunds to patients, employers, or insurance companies as necessary and according to billing office policies.
• Collection follow up with appropriate payer and/or client via internet or telephone.
• Assist coworkers and other staff with requests, in a timely and professional manner.
• Complete credentialing applications for licensed staff.
• Prepare and submit applications for new sites/services and site updates.
• Document and note all actions taken regarding customer accounts per office policy.
• Posts payments for assigned payer(s).
• Verify insurance daily for new payers and weekly/monthly for current ones.
• Keep abreast of new insurance updates and regulations.
• Create and submit monthly reports as assigned.
• Solve problems, exchange ideas, and actively listen in a team environment.
• Demonstrates willingness to accept additional duties as assigned and complete by deadlines negotiated with supervisor.