Billing Specialist

Join a purpose-driven team at Caron Treatment Centers, where for nearly 70 years, we’ve been helping people find a path to recovery from addiction and rebuild their lives. We offer real careers with real opportunities for growth, comprehensive training, and a commitment to work-life balance. Our benefits include generous paid time off, professional growth and development, company-paid life and disability insurance, tuition reimbursement, a competitive 401(k) plan, and robust medical, dental, and vision plans .

We’re proud to foster a diverse and inclusive environment, with a culture of teamwork, compassion, and dedication to our mission. S tart a career that saves lives at a company that values yours!

Monday-Friday 8am-4:30pm

Candidates must have the ability to come to the Wernersville, PA campus 1 day per week, additional days as needed

• Review patient account activity to obtain understanding of remaining outstanding amounts due fromthepatient or insurance funding sources.
• Contact third party payers ona timely basis to obtain claim processing status and clarificationregardingclaim payment denials.
• Assertively pursue proper adjudication of claim with third party payer while serving as an advocate to both the organization and patient to receive maximum appropriate payment
• Process necessary adjustments to the patient’s account to reflect net amounts due after scholarships and contracted discounts.
• Preparetimelyandaccuratepatient statement sand refund requests according to department policies and procedures and ensure proper mailing ofsame.
• Respond toall phone calls from patients and private partiesregardingany inquiry related to patient account status, including prior insurance payments or denials.
• Be able to properly communicatetopatientsallorganizational policiesregardingscholarship funding.
• Work with appropriate responsible parties toarrange for payment plans or other funding alternatives according to department policy.
• Prepare and coordinate all necessary documents and correspondence related to payment plans.
• Assists with the submission and processing of all accounts sent toexternalcollection agency.
• Communicate with the Supervisor of Patient Billing and Accountingregardingany potential adjustments toaccountbalances.
• Alwaysmaintainprofessionalismwhen communicating and resolving outstanding balances with patients andthird-party funding sources.
• Work with internal departments to provide patients with any requested (and appropriate) information related to their treatment that mayassistthem with potential cost recovery.
• Support other department members with revenue cycle functions during staffing shortages and absences.
• Assist Department Leadership in achieving goals andobjectivesestablishedby Senior Leadership for the department.
• Utilizethe electronic systems and software so that maximum efficiencies areobtainedand appropriately escape issues related to such systems to the proper personnel.
• Abide by any provisions outlined in Third Party Reimbursement Contracts when performing revenue cycle functions.
• Maintain the integrity of all elements of the revenue cycle database when performing related revenue cycle functions.
• Assist with the training and orientation ofnew employees as directed by Department Leadership.
• This job description reflects management’s assignment of essential functions; it does not prescribe or restrict other tasks that may be assigned.

• High school diploma or equivalent required
• 2 years’ previous experience in an electronic billing environment required
• Knowledge of health insurance medical billing policies and procedures required
• Previous experience in electronic claims submission and remittance processes preferred
• If in recovery, 1…