Medical Billing Specialist

Overview

Medical Billing Specialist—Behavioral Health – Exact Billing Solutions (EBS), Lauderdale Lakes, FL

Base pay range: $58,240.00/yr - $64,480.00/yr

Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We collaborate with partner healthcare companies to optimize billing processes and cash flow while delivering patient-centered service.

• 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 escalate 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
• 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 third-party guidelines are satisfied
• Update patient demographics and insurance information as needed
• Ability to meet KPI established productivity metrics

• 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, plus 6 holidays, increases with tenure)
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• Medical, dental, vision, long-term disability, and life insurance
• Generous 401(k) with up to 6% employer match

Integrity. Dependability. Attention to detail. We are a fast-paced, growing company delivering services that help our clients support patient care. We value people and teamwork in delivering our mission.