Medical Billing and Collections Specialist - Plymouth - LearnWell

    LearnWell
    LearnWell Plymouth

    4 days ago

    Description

    Medical Billing And Collections Specialist

    LearnWell is dedicated to supporting students with mental health conditions through a comprehensive range of academic and mental wellness services. Partnering with treatment facilities and school districts, we aim to improve educational and health outcomes for students facing mental health challenges, ensuring they receive the necessary support throughout their continuum of care.

    LearnWell is seeking a Billing & Collections specialist to join an energetic team dedicated to expanding access to affordable, behavioral healthcare for our MA and NY practices. Our medical billing team plays a crucial role in ensuring the financial health of our organization by managing and optimizing the accounts receivable process. You will work closely with clinicians, insurance companies, patients, and internal departments to maximize revenue and minimize outstanding balances. This position requires attention to detail, strong analytical skills, and a deep understanding of medical billing in a behavioral health setting and collection processes.

    The ideal candidate for the position will have extensive experience in various aspects of medical billing, including but not limited to claim submissions, prior authorizations, insurance appeals, and reprocessing efforts. This detail-oriented individual will thrive in a fast-paced environment and contribute to streamlined revenue cycle management.

    Responsibilities

    • Ensure daily billing batches are cleared of all errors and ready for transmission
    • Collect patient payments, update payment methods, and setup payment plans
    • Conduct regular follow-ups with payers and patients to ensure timely payment of outstanding balances
    • Understand insurance benefits and eligibility utilizing online insurance portals.
    • Read and interpret EOBs/ERAs
    • Identify, research, and escalate discrepancies on patient accounts
    • Return patient and clinician emails/voicemails within 48 hours of receipt
    • Demonstrate strong understanding of EMR and RCM platforms
    • Utilizes Microsoft Office (Excel) to analyze report data

    Compensation & Benefits:

    • Starting annual salary is $48,000 - $50,000/year, based on experience
    • We offer a generous package of paid time off including vacation time, sick time, and federal holidays. We also offer healthcare benefits that include medical, dental, and vision. Additional benefits include paid family leave options, 401K, employer sponsored life insurance policies, and opportunities for professional development.

    Qualifications

    • Bachelors Degree Preferred
    • 2+ years of experience in behavioral health medical billing
    • Experience with high volume medical collections
    • Bilingual (Spanish/English) is a plus

    Join LearnWell as we strive to make a difference in the lives of students with behavioral health needs. We are proud to be an Equal Opportunity Employer.


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