Medical Billing & Revenue Cycle Management Leader

Ellie Mental Health - 182

Medical Billing & Revenue Cycle Management Leader

Newton, MA
Full Time
Paid
  • Responsibilities

    Benefits:

    Competitive salary

    Dental insurance

    Health insurance

    Paid time off

    Vision insurance

    401(k) matching

    Flexible schedule

    Opportunity for advancement

    FH Management, LLC dba Ellie Mental Health is seeking an experienced and compassionate individual that will lead revenue cycle management for group practices: conduct insurance verifications, submit and manage claims to insurance, manage post claims processing (including posting payments accurately, validating accurate insurance payments, and resolving denials and underpayments), submit and manage insurance credentialing applications for clinicians, and collect and manage patient balances. The Medical Billing & Revenue Cycle Management Leader position is accountable for timely investigation and follow up on all outstanding insurance and patient accounts receivable, communicate with patients regarding their outstanding balance, collecting balances and managing refunds.

    This position is full-time (W-2), remote, and the hours are flexible. The salary range is $60,000 - $70,000.

    What we offer

    • Competitive compensation

    • Health benefits including BCBS medical, dental, and vision

    • Life Insurance

    • 401(k) matching retirement plan

    • Paid Time Off (PTO)

    • Dedication to a team approach and atmosphere

    • Flexible schedule

    Essential Job Functions and Duties

    • Conduct insurance verifications to understand patient insurance benefits and document in EHR.

    • Collaborate with behavioral health providers as needed, and obtain outstanding documentation.

    • Review electronic remittance advice (ERA) to reconcile with insurance and patient balances. • Monitor and follow up on unpaid, underpaid, or denied claims, including appeals and resubmissions, to ensure timely reimbursement and resolution of payment issues. • Work closely with clinicians and leadership to resolve errors.

    • Sends patient statements, settles patient balances and manages patient payment plans.

    • Places outbound calls to patients regarding past due balances or defaulted payment plans.

    • Takes inbound calls and emails from patients regarding account questions.

    • Review patient credit balances and process refunds as needed. • Submit and manage insurance credentialing applications for clinicians.

    • Uphold patient confidentiality and adhere to all HIPAA (Health Insurance Portability and Accountability Act) regulations in handling and protecting sensitive behavioral health information.

    • Report regularly on assigned billing responsibilities including A/R, trends, payments, balances, and claim errors.

    • Performs other duties as assigned.

    Necessary Skills/Abilities/Education

    • High School Diploma or equivalent required.

    • Desired minimum 2 years experience in medical billing, with a preference for mental health billing.

    • Solid understanding of billing software and electronic medical records.

    • Solid understanding of medical insurance billing, deductibles, and copays.

    • Must have the ability to multitask and manage time effectively.

    • Must demonstrate calm, rational thinking and clear communication when faced with deadlines and customer demands.

    • Attention to detail and organizational skills.

    • Familiarity with electronic health record (EHR) system Valant is a major plus (candidates with this experience will be given preference).

    • Excellent written and verbal communication skills.

    • Outstanding problem-solving and organizational abilities.

    • Exceptional customer service skills.

    • Must have a working smartphone and reliable access to internet.

    About Ellie Mental Health

    Ellie was proudly founded by clinicians on the principle of destigmatizing mental health. The mental health industry is full of barriers, and we have made it our goal to fill the gap and find innovative ways to break down these barriers for our local communities. Our practices are structured to remove many of the obstacles that get in the way of providing world-class mental health services.

    This is a remote position.