Behavior Health Reimbursement Coordinator

Lakeview Center provides comprehensive behavioral health care to adults and children with mental illnesses, drug and alcohol dependencies and intellectual disabilities. Across Northwest Florida, our services range from residential treatment to outpatient counseling, psychiatry, trauma care, treatments for substance misuse and 24/7 support for those with serious mental illnesses. Learn more at eLakeviewCenter.org.

About the role

The Reimbursement Coordinator is responsible for accurately and timely processing commercial payments, self-pay payments, managing adjustments and processing refunds for clients’ accounts. This position will also audit client’s accounts for accuracy of timely payments and refer appropriate accounts to the outside collection agency. The Reimbursement Coordinator will ensure all payments are entered into the system and applied to the appropriate accounts timely.

This position is required to develop and maintain a working knowledge of insurance billing and insurance regulations. Assist with month end closing as needed. Answer internal and external calls and emails. Must have a thorough knowledge of insurance regulations and contracts to ensure correct payments are received. Must have a thorough knowledge of accounting principles to ensure accurate reconciliation of client’s accounts. Manage aged accounts within the guidelines set forth in the departmental Policy and Procedure manual. Report any billing concerns/issues to the Director of Reimbursement Services.

This position will work closely with finance, accounting and co-workers to identify best practices for ongoing reimbursement enhancements. Job duties are expected to be executed with considerable independence, must possess outstanding attention to detail and maintain compliance with established facility policies and procedures, contract requirements, organization bylaws, and federal and state regulations/laws.

Responsibilities

• Process commercial payments, self-pay payments, manage adjustments, and process refunds for clients’ accounts
• Audit client accounts for accuracy and timely payments; refer appropriate accounts to outside collection agencies
• Ensure all payments are entered into the system and applied to the correct accounts
• Develop and maintain knowledge of insurance billing and regulations
• Assist with month-end closing as needed
• Answer internal and external calls and emails
• Reconcile client accounts using accounting principles
• Manage aged accounts per departmental Policy and Procedure manual
• Report billing concerns/issues to the Director of Reimbursement Services
• Collaborate with finance, accounting, and coworkers to improve reimbursement practices
• Research and analyze data; provide immediate feedback to management as requested
• Maintain professional working relationships with internal and external customers
• Adhere to HIPAA guidelines and confidentiality regulations
• Practice proper telephone etiquette and provide excellent customer service

Requirements

• Associate (AA) degree preferred; in lieu of degree, a high school diploma or GED with five (5) years of relevant business experience may be substituted
• Three (3) years of medical billing or relevant business experience preferred
• Strong verbal and written communication skills
• Strong organizational skills with the ability to prioritize responsibilities
• Ability to work independently and make sound decisions
• Problem-solving skills and ability to know when to request assistance
• Thorough understanding of claims processing, payments, and collections
• Proficient computer skills, including Microsoft Office
• Ability to pass organization screening requirements, including state or federal background screenings as required

Benefits

• Medical, dental, and vision insurance
• Basic life and AD&D insurance
• Voluntary term life insurance
• Employer-paid long-term disability
• Flexible Spending Accounts and Health Savings Account
• Retirement Savings Plan (RSP)
• Employee Assistance Program
• Accident insurance
• Group critical illness insurance
• Individual short-term disability insurance
• Paid Time Off
• Identity theft protection
• Employee discount program
• Teladoc