AR Follow Up Specialist

About the role

The AR Follow Up Specialist plays a key role in ensuring timely and accurate reimbursement for behavioral health services. The billing specialist in this role maintains accurate client eligibility information, identifies and resolves billing errors before claims are submitted, and follows up on claims, denials, payer correspondence, and authorizations.

Responsibilities

• Maintains accurate client eligibility information
• Identifies and resolves billing errors before claims are submitted
• Follows up on claims, denials, payer correspondence, and authorizations
• Works closely with the Reimbursement Supervisor to improve processes, efficiencies, and productivity throughout the revenue cycle
• Performs research and resolves all denials and correspondence from assigned payers
• Rebills and/or appeals claims that have not been paid or have been denied unjustly
• Follows up on all outstanding claims as outlined in the Accounts Receivable process and procedures, providing a detailed account on all claims in an outstanding status

Requirements

• High school diploma or equivalent
• Minimum of two (2) years’ experience in healthcare billing, reimbursement, or revenue cycle operations
• Experience with Medicaid, ODMHSAS, Medicare, or other third-party payers within an outpatient behavioral health setting preferred
• Thorough understanding of Medicaid and ODMHSAS rules and regulations, as well as HIPAA and client privacy requirements
• Strong attention to detail and accuracy in reviewing, verifying, and updating client eligibility and billing information
• Ability to maintain professional conduct, maintain confidentiality of clients and information, and have strong computer skills, including proficiency in Excel
• Excellent communication, problem-solving, and time management skills
• Ability to work independently and collaboratively both internally and externally

Benefits

• Premium medical, dental & vision benefits
• 75% Agency paid medical premiums and zero cost options
• Retirement Savings 403(b) plan with up to 6% employer match
• Life insurance, short & long term disability benefits
• Employee Assistance & wellness programs
• Up to 34 paid days off in the first year