Billing Specialist

Exact Billing Solutions provided pay range

This range is provided by Exact Billing Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$58,240.00/yr - $64,480.00/yr

Lauderdale Lakes, FL

Exact Billing Solutions is a unique team ofrevenue cycle management professionals specializing in the substance use disorder, mental health, and autismcarefields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.

EBSis poised for exponential growth,andwe are building outourteamsto supporttheexpansion ofglobal operations.

Part of the ICBDfamilyoffice portfolio, Exact Billing Solutionscombines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation.

Exact Billing Solutions was launched to address one of healthcare's most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties.

• Inc. 5000, 2024
  - Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)
• Florida Trend Magazine- 500 Most Influential Business Leaders
• EY Entrepreneur Of The Year ®U.S. Overall

Are you an experienced behavioral health collections professional ready to take your career to the next level with a growing, fast-moving company? You could be our Billing Specialist—Behavioral Health, responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients.

We work with multiple expanding clinic locations, so timely collections are critical to our operations. The work you will do can make a real difference in the lives of client families and kids by allowing our partners to open clinics where they are desperately needed.

• Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims
• Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams
• Submit corrected claims, appeals, and additional documentation as required to secure reimbursement
• Document all collection activities clearly and accurately within our systems
• Monitor payor trends and elevate recurring issues to leadership
• Meet or exceed daily, weekly, and monthly productivity and quality standards
• Support special projects and process improvement initiatives as assigned
• Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
• Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
• Status claims and add notes in the patient accounting system (Collaborate
  
  MD)
• Escalate any payor or client claim issues to department leadership
• Establish/maintain effective communications with the leadership team to ensure that all third-party guidelines are satisfied
• Update patient demographics and insurance information as needed
• Ability to meet KPI established metrics for productivity

• Associate's degree (preferred)
• Behavioral health out-of-network billing: 3 years of experience
• Knowledge and experience with Collaborate
  
  MD EMR and billing software programs
• Experience with ABA therapy preferred
• Experience/knowledge with CPT and ICD
  10 codes preferred
• Claims denial experience with follow up from payers including appeals

• 21 paid days off (15 days of PTO, which increases with tenure, plus 6…